Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,938.81 / $3,125.18 / $14,482.00	Facility		$1,938.81	$3,125.18	$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 $3,891.04 / $4,546.97 / $7,334.12	Facility		$3,891.04	$4,546.97	$7,334.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,527.87 / $2,438.91 / $3,486.36	Facility		$1,527.87	$2,438.91	$3,486.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,772.64 / $3,008.52 / $7,700.00	Facility		$1,772.64	$3,008.52	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,527.87 / $2,438.91 / $3,486.36	Facility		$1,527.87	$2,438.91	$3,486.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,159.65 / $4,878.99 / $6,350.06	Professional		$3,159.65	$4,878.99	$6,350.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,739.82 / $16,739.82 / $16,739.82	Facility		$16,739.82	$16,739.82	$16,739.82
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $735.86 / $735.86 / $735.86	Facility	AS	$735.86	$735.86	$735.86
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