Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,019.77 / $2,225.34 / $14,482.00	Facility		$1,019.77	$2,225.34	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $12,066.00 / $19,370.00	Facility		$7,084.00	$12,066.00	$19,370.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,777.25 / $3,245.44 / $5,234.78	Facility		$2,777.25	$3,245.44	$5,234.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,019.77 / $1,291.69 / $4,595.10	Facility		$1,019.77	$1,291.69	$4,595.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,025.25 / $2,429.00 / $7,700.00	Facility		$1,025.25	$2,429.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,019.77 / $1,491.32 / $4,595.10	Facility		$1,019.77	$1,491.32	$4,595.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,206.75 / $3,395.00 / $4,741.14	Professional		$2,206.75	$3,395.00	$4,741.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,876.21 / $16,876.21 / $16,876.21	Facility		$16,876.21	$16,876.21	$16,876.21
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $513.94 / $513.94 / $513.94	Facility	AS	$513.94	$513.94	$513.94
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