Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,448.11 / $2,337.61 / $14,482.00	Facility		$1,448.11	$2,337.61	$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 $2,920.53 / $3,412.87 / $5,504.84	Facility		$2,920.53	$3,412.87	$5,504.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,142.83 / $1,819.93 / $2,583.25	Facility		$1,142.83	$1,819.93	$2,583.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,324.14 / $2,678.00 / $7,700.00	Facility		$1,324.14	$2,678.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,142.83 / $1,819.93 / $2,583.25	Facility		$1,142.83	$1,819.93	$2,583.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,360.15 / $3,644.43 / $4,759.35	Professional		$2,360.15	$3,644.43	$4,759.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,535.65 / $12,535.65 / $12,535.65	Facility		$12,535.65	$12,535.65	$12,535.65
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $549.66 / $549.66 / $549.66	Facility	AS	$549.66	$549.66	$549.66
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