Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,495.73 / $11,851.80 / $29,299.00	Facility		$1,495.73	$11,851.80	$29,299.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,141.00 / $22,609.00	Facility		$10,878.00	$15,141.00	$22,609.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,806.33 / $4,448.00 / $7,174.46	Facility		$3,806.33	$4,448.00	$7,174.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,495.73 / $1,966.75 / $4,697.31	Facility		$1,495.73	$1,966.75	$4,697.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,495.73 / $4,697.31 / $16,779.00	Facility		$1,495.73	$4,697.31	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,495.73 / $1,966.75 / $4,697.31	Facility		$1,495.73	$1,966.75	$4,697.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,893.80 / $4,468.47 / $6,023.63	Professional		$2,893.80	$4,468.47	$6,023.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22,189.40 / $22,189.40 / $22,189.40	Facility		$22,189.40	$22,189.40	$22,189.40
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,105.03 / $2,105.03 / $2,105.03	Facility	AS	$2,105.03	$2,105.03	$2,105.03
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $11,891.00 / $15,090.00	Facility		$7,984.00	$11,891.00	$15,090.00