Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,512.69 / $2,431.91 / $14,482.00	Facility		$1,512.69	$2,431.91	$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 $3,044.88 / $3,558.19 / $5,739.23	Facility		$3,044.88	$3,558.19	$5,739.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,188.94 / $1,896.18 / $2,730.00	Facility		$1,188.94	$1,896.18	$2,730.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,373.52 / $2,730.00 / $7,700.00	Facility		$1,373.52	$2,730.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,188.94 / $1,896.18 / $2,730.00	Facility		$1,188.94	$1,896.18	$2,730.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,447.90 / $3,779.93 / $4,951.20	Professional		$2,447.90	$3,779.93	$4,951.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,009.05 / $13,009.05 / $13,009.05	Facility		$13,009.05	$13,009.05	$13,009.05
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $570.10 / $570.10 / $570.10	Facility	AS	$570.10	$570.10	$570.10
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