Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,337.90 / $4,836.34 / $34,848.94	Facility		$1,337.90	$4,836.34	$34,848.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $12,066.00 / $21,984.61	Facility		$7,084.00	$12,066.00	$21,984.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,399.02 / $3,972.03 / $6,406.74	Facility		$3,399.02	$3,972.03	$6,406.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,337.90 / $1,838.98 / $4,145.62	Facility		$1,337.90	$1,838.98	$4,145.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,337.90 / $2,641.79 / $7,700.00	Facility		$1,337.90	$2,641.79	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,337.90 / $1,838.98 / $4,145.62	Facility		$1,337.90	$1,838.98	$4,145.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,590.25 / $3,999.74 / $5,420.21	Professional		$2,590.25	$3,999.74	$5,420.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,371.84 / $12,371.84 / $12,371.84	Facility		$12,371.84	$12,371.84	$12,371.84
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $603.26 / $603.26 / $603.26	Facility	AS	$603.26	$603.26	$603.26
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