Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.63 / $2,021.92 / $14,482.00	Facility		$1,256.63	$2,021.92	$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 $2,522.23 / $2,947.43 / $4,754.10	Facility		$2,522.23	$2,947.43	$4,754.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $988.49 / $1,578.62 / $2,625.00	Facility		$988.49	$1,578.62	$2,625.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,145.09 / $2,678.00 / $7,700.00	Facility		$1,145.09	$2,678.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $988.49 / $1,578.62 / $2,625.00	Facility		$988.49	$1,578.62	$2,625.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,041.00 / $3,151.62 / $4,110.60	Professional		$2,041.00	$3,151.62	$4,110.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,869.93 / $10,869.93 / $10,869.93	Facility		$10,869.93	$10,869.93	$10,869.93
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $475.34 / $475.34 / $475.34	Facility	AS	$475.34	$475.34	$475.34
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