Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,279.33 / $2,063.29 / $14,482.00	Facility		$1,279.33	$2,063.29	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,569.98 / $3,003.24 / $4,844.12	Facility		$2,569.98	$3,003.24	$4,844.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,008.72 / $1,607.39 / $2,300.04	Facility		$1,008.72	$1,607.39	$2,300.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,168.47 / $2,678.00 / $7,700.00	Facility		$1,168.47	$2,678.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,008.72 / $1,607.39 / $2,300.04	Facility		$1,008.72	$1,607.39	$2,300.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,082.60 / $3,215.85 / $4,188.25	Professional		$2,082.60	$3,215.85	$4,188.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,028.06 / $11,028.06 / $11,028.06	Facility		$11,028.06	$11,028.06	$11,028.06
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $485.03 / $485.03 / $485.03	Facility	AS	$485.03	$485.03	$485.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00