Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,660.68 / $10,575.10 / $18,847.09	Facility		$5,660.68	$10,575.10	$18,847.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,019.00	Facility		$13,123.00	$18,187.00	$24,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,221.23 / $15,450.06 / $24,920.39	Facility		$13,221.23	$15,450.06	$24,920.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,700.03 / $6,253.91 / $11,142.86	Facility		$4,700.03	$6,253.91	$11,142.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,096.39 / $6,091.63 / $11,636.24	Facility		$4,096.39	$6,091.63	$11,636.24
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $15,385.09 / $15,385.09 / $15,385.09	Facility	62	$15,385.09	$15,385.09	$15,385.09
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4,658.56 / $6,267.54 / $11,142.86	Facility		$4,658.56	$6,267.54	$11,142.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9,756.60 / $13,012.05 / $21,347.72	Professional		$9,756.60	$13,012.05	$21,347.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $192,324.31 / $192,324.31 / $192,324.31	Facility		$192,324.31	$192,324.31	$192,324.31
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $15,385.09 / $15,385.09 / $15,385.09	Facility	62	$15,385.09	$15,385.09	$15,385.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $4,917.00 / $19,003.00	Facility		$2,429.00	$4,917.00	$19,003.00