Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,067.44 / $3,909.47 / $14,482.00	Facility		$2,067.44	$3,909.47	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $7,532.89 / $14,226.53	Facility		$5,169.00	$7,532.89	$14,226.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,941.74 / $5,774.82 / $9,314.57	Facility		$4,941.74	$5,774.82	$9,314.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,911.29 / $2,085.05 / $3,735.71	Facility		$1,911.29	$2,085.05	$3,735.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,067.44 / $6,241.00 / $12,216.00	Facility		$2,067.44	$6,241.00	$12,216.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,911.29 / $2,085.05 / $3,735.71	Facility		$1,911.29	$2,085.05	$3,735.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,786.25 / $5,825.00 / $6,886.90	Professional		$3,786.25	$5,825.00	$6,886.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,825.95 / $15,825.95 / $15,825.95	Facility		$15,825.95	$15,825.95	$15,825.95
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $881.80 / $881.80 / $881.80	Facility	AS	$881.80	$881.80	$881.80
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00