Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,045.83 / $9,853.83 / $35,221.14	Facility		$1,045.83	$9,853.83	$35,221.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $15,055.00 / $22,609.00	Facility		$8,139.00	$15,055.00	$22,609.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,489.79 / $2,909.52 / $4,692.96	Facility		$2,489.79	$2,909.52	$4,692.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $892.50 / $1,050.82 / $1,882.71	Facility		$892.50	$1,050.82	$1,882.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $963.25 / $6,154.00 / $17,200.00	Facility		$963.25	$6,154.00	$17,200.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $892.50 / $1,050.82 / $1,882.71	Facility		$892.50	$1,050.82	$1,882.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,901.25 / $2,935.82 / $3,458.23	Professional		$1,901.25	$2,935.82	$3,458.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27,770.10 / $27,770.10 / $27,770.10	Facility		$27,770.10	$27,770.10	$27,770.10
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,632.21 / $2,632.21 / $2,632.21	Facility	AS	$2,632.21	$2,632.21	$2,632.21
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $12,373.00 / $15,090.00	Facility		$7,984.00	$12,373.00	$15,090.00