Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,746.95 / $2,818.98 / $14,482.00	Facility		$1,746.95	$2,818.98	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,196.00 / $17,436.00	Facility		$6,538.00	$10,196.00	$17,436.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,533.29 / $4,128.93 / $6,659.82	Facility		$3,533.29	$4,128.93	$6,659.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,378.17 / $2,186.54 / $3,045.22	Facility		$1,378.17	$2,186.54	$3,045.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,586.77 / $2,835.00 / $7,700.00	Facility		$1,586.77	$2,835.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,378.17 / $2,186.54 / $3,045.22	Facility		$1,378.17	$2,186.54	$3,045.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,826.85 / $4,365.09 / $5,732.94	Professional		$2,826.85	$4,365.09	$5,732.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26,715.04 / $26,715.04 / $26,715.04	Facility		$26,715.04	$26,715.04	$26,715.04
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $4,114.74 / $4,114.74 / $4,114.74	Facility	62	$4,114.74	$4,114.74	$4,114.74
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $658.36 / $658.36 / $658.36	Facility	AS	$658.36	$658.36	$658.36
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