Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,373.11 / $2,218.46 / $14,482.00	Facility		$1,373.11	$2,218.46	$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 $2,767.34 / $3,233.86 / $5,216.09	Facility		$2,767.34	$3,233.86	$5,216.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,084.58 / $1,725.03 / $2,448.73	Facility		$1,084.58	$1,725.03	$2,448.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,256.05 / $2,553.00 / $7,700.00	Facility		$1,256.05	$2,553.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,084.58 / $1,725.03 / $2,448.73	Facility		$1,084.58	$1,725.03	$2,448.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,238.60 / $3,456.74 / $4,510.16	Professional		$2,238.60	$3,456.74	$4,510.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,512.08 / $14,512.08 / $14,512.08	Facility		$14,512.08	$14,512.08	$14,512.08
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $521.36 / $521.36 / $521.36	Facility	AS	$521.36	$521.36	$521.36
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