Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,946.86 / $3,142.87 / $14,482.00	Facility		$1,946.86	$3,142.87	$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 $3,911.76 / $4,571.20 / $7,373.19	Facility		$3,911.76	$4,571.20	$7,373.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,536.51 / $2,448.62 / $3,493.31	Facility		$1,536.51	$2,448.62	$3,493.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,782.70 / $3,003.18 / $8,326.95	Facility		$1,782.70	$3,003.18	$8,326.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,536.51 / $2,448.62 / $3,493.31	Facility		$1,536.51	$2,448.62	$3,493.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,177.85 / $4,907.09 / $6,382.19	Professional		$3,177.85	$4,907.09	$6,382.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,823.07 / $16,823.07 / $16,823.07	Facility		$16,823.07	$16,823.07	$16,823.07
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $740.11 / $740.11 / $740.11	Facility	AS	$740.11	$740.11	$740.11
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