Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,014.11 / $3,806.69 / $14,482.00	Facility		$2,014.11	$3,806.69	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $9,695.00 / $15,579.70	Facility		$5,479.00	$9,695.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,817.39 / $5,629.50 / $9,080.18	Facility		$4,817.39	$5,629.50	$9,080.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,861.05 / $2,030.23 / $3,637.50	Facility		$1,861.05	$2,030.23	$3,637.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,014.11 / $7,217.00 / $15,702.00	Facility		$2,014.11	$7,217.00	$15,702.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,861.05 / $2,030.23 / $3,637.50	Facility		$1,861.05	$2,030.23	$3,637.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,685.50 / $5,690.06 / $6,703.64	Professional		$3,685.50	$5,690.06	$6,703.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,828.25 / $19,828.25 / $19,828.25	Facility		$19,828.25	$19,828.25	$19,828.25
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $6,866.68 / $6,866.68 / $6,866.68	Facility	52	$6,866.68	$6,866.68	$6,866.68
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $858.34 / $858.34 / $858.34	Facility	AS	$858.34	$858.34	$858.34
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00