Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,345.05 / $2,726.46 / $14,482.00	Facility		$1,345.05	$2,726.46	$14,482.00
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 $3,415.24 / $3,990.98 / $6,437.32	Facility		$3,415.24	$3,990.98	$6,437.32
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,332.94 / $1,765.65 / $2,653.29	Facility		$1,332.94	$1,765.65	$2,653.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,345.05 / $2,653.29 / $7,700.00	Facility		$1,345.05	$2,653.29	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,332.94 / $1,765.65 / $2,653.29	Facility		$1,332.94	$1,765.65	$2,653.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,602.60 / $4,018.81 / $5,449.63	Professional		$2,602.60	$4,018.81	$5,449.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,436.64 / $12,436.64 / $12,436.64	Facility		$12,436.64	$12,436.64	$12,436.64
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $606.13 / $606.13 / $606.13	Facility	AS	$606.13	$606.13	$606.13
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