Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,216.56 / $4,710.22 / $18,347.15	Facility		$1,216.56	$4,710.22	$18,347.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,326.94 / $3,887.79 / $6,270.86	Facility		$3,326.94	$3,887.79	$6,270.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,216.56 / $1,503.51 / $5,861.22	Facility		$1,216.56	$1,503.51	$5,861.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,217.17 / $5,861.22 / $15,126.00	Facility		$1,217.17	$5,861.22	$15,126.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,216.56 / $1,661.04 / $5,861.22	Facility		$1,216.56	$1,661.04	$5,861.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,582.44 / $3,973.00 / $4,697.28	Professional		$2,582.44	$3,973.00	$4,697.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,960.05 / $13,960.05 / $13,960.05	Facility		$13,960.05	$13,960.05	$13,960.05
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,324.34 / $1,324.34 / $1,324.34	Facility	AS	$1,324.34	$1,324.34	$1,324.34
United Facility/Professional Facility Modifier Low / Median / High Price $4,687.66 / $11,608.00 / $13,980.00	Facility		$4,687.66	$11,608.00	$13,980.00