Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,990.70 / $3,208.97 / $25,565.45	Facility		$1,990.70	$3,208.97	$25,565.45
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 $3,999.17 / $4,673.35 / $7,537.94	Facility		$3,999.17	$4,673.35	$7,537.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,568.83 / $2,503.16 / $3,583.11	Facility		$1,568.83	$2,503.16	$3,583.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,818.14 / $3,238.91 / $8,103.71	Facility		$1,818.14	$3,238.91	$8,103.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,568.83 / $2,503.16 / $3,583.11	Facility		$1,568.83	$2,503.16	$3,583.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,240.25 / $5,003.43 / $6,523.43	Professional		$3,240.25	$5,003.43	$6,523.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30,552.96 / $30,552.96 / $30,552.96	Facility		$30,552.96	$30,552.96	$30,552.96
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $4,716.47 / $4,716.47 / $4,716.47	Facility	62	$4,716.47	$4,716.47	$4,716.47
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $754.64 / $754.64 / $754.64	Facility	AS	$754.64	$754.64	$754.64
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