Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,280.21 / $2,593.96 / $14,482.00	Facility		$1,280.21	$2,593.96	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,705.54 / $18,141.00	Facility		$6,538.00	$10,705.54	$18,141.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,249.44 / $3,797.23 / $6,124.79	Facility		$3,249.44	$3,797.23	$6,124.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,280.21 / $1,755.50 / $6,343.45	Facility		$1,280.21	$1,755.50	$6,343.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,280.21 / $2,678.00 / $7,700.00	Facility		$1,280.21	$2,678.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,280.21 / $1,828.35 / $6,343.45	Facility		$1,280.21	$1,828.35	$6,343.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,485.60 / $3,838.15 / $5,170.97	Professional		$2,485.60	$3,838.15	$5,170.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,858.00 / $11,858.00 / $11,858.00	Facility		$11,858.00	$11,858.00	$11,858.00
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $3,618.02 / $3,618.02 / $3,618.02	Facility	62	$3,618.02	$3,618.02	$3,618.02
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $578.88 / $578.88 / $578.88	Facility	AS	$578.88	$578.88	$578.88
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