Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.47 / $2,628.20 / $14,482.00	Facility		$1,628.47	$2,628.20	$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 $3,271.07 / $3,822.50 / $6,165.56	Facility		$3,271.07	$3,822.50	$6,165.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,284.90 / $2,046.65 / $2,917.09	Facility		$1,284.90	$2,046.65	$2,917.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,488.98 / $2,803.00 / $7,700.00	Facility		$1,488.98	$2,803.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,284.90 / $2,046.65 / $2,917.09	Facility		$1,284.90	$2,046.65	$2,917.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,653.95 / $4,098.10 / $5,333.73	Professional		$2,653.95	$4,098.10	$5,333.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,046.30 / $14,046.30 / $14,046.30	Facility		$14,046.30	$14,046.30	$14,046.30
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $618.09 / $618.09 / $618.09	Facility	AS	$618.09	$618.09	$618.09
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