Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,321.58 / $2,131.56 / $14,482.00	Facility		$1,321.58	$2,131.56	$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 $2,660.11 / $3,108.54 / $5,013.97	Facility		$2,660.11	$3,108.54	$5,013.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,042.09 / $1,659.46 / $2,730.00	Facility		$1,042.09	$1,659.46	$2,730.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,207.44 / $2,730.00 / $7,700.00	Facility		$1,207.44	$2,730.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,042.09 / $1,659.46 / $2,730.00	Facility		$1,042.09	$1,659.46	$2,730.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,152.80 / $3,324.25 / $4,330.92	Professional		$2,152.80	$3,324.25	$4,330.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,940.30 / $13,940.30 / $13,940.30	Facility		$13,940.30	$13,940.30	$13,940.30
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $501.38 / $501.38 / $501.38	Facility	AS	$501.38	$501.38	$501.38
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