Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,104.89 / $1,784.77 / $14,482.00	Facility		$1,104.89	$1,784.77	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,223.96 / $2,598.88 / $4,191.89	Facility		$2,223.96	$2,598.88	$4,191.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $872.55 / $1,386.84 / $1,995.00	Facility		$872.55	$1,386.84	$1,995.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,008.65 / $8,627.00 / $16,779.00	Facility		$1,008.65	$8,627.00	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $872.55 / $1,386.84 / $1,995.00	Facility		$872.55	$1,386.84	$1,995.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,797.25 / $2,775.23 / $3,621.32	Professional		$1,797.25	$2,775.23	$3,621.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,070.15 / $17,070.15 / $17,070.15	Facility		$17,070.15	$17,070.15	$17,070.15
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,618.01 / $1,618.01 / $1,618.01	Facility	AS	$1,618.01	$1,618.01	$1,618.01
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $12,373.00 / $15,090.00	Facility		$7,984.00	$12,373.00	$15,090.00