Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.41 / $4,432.12 / $14,482.00	Facility		$2,187.41	$4,432.12	$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 $5,550.00 / $6,485.61 / $10,461.06	Facility		$5,550.00	$6,485.61	$10,461.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,187.41 / $3,006.01 / $9,143.58	Facility		$2,187.41	$3,006.01	$9,143.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,187.41 / $3,583.00 / $9,143.58	Facility		$2,187.41	$3,583.00	$9,143.58
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,187.41 / $3,175.75 / $9,143.58	Facility		$2,187.41	$3,175.75	$9,143.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,232.80 / $6,536.09 / $8,855.60	Professional		$4,232.80	$6,536.09	$8,855.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22,741.74 / $22,741.74 / $22,741.74	Facility		$22,741.74	$22,741.74	$22,741.74
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $6,161.22 / $6,161.22 / $6,161.22	Facility	62	$6,161.22	$6,161.22	$6,161.22
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $985.80 / $985.80 / $985.80	Facility	AS	$985.80	$985.80	$985.80
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