Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,005.86 / $3,894.07 / $14,482.00	Facility		$1,005.86	$3,894.07	$14,482.00
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 $2,751.12 / $3,214.90 / $5,185.52	Facility		$2,751.12	$3,214.90	$5,185.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,005.72 / $1,243.00 / $3,321.06	Facility		$1,005.72	$1,243.00	$3,321.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,005.72 / $3,321.06 / $15,126.00	Facility		$1,005.72	$3,321.06	$15,126.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,005.72 / $1,243.00 / $3,321.06	Facility		$1,005.72	$1,243.00	$3,321.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,132.00 / $3,280.00 / $3,877.94	Professional		$2,132.00	$3,280.00	$3,877.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,547.20 / $16,547.20 / $16,547.20	Facility		$16,547.20	$16,547.20	$16,547.20
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,568.44 / $1,568.44 / $1,568.44	Facility	AS	$1,568.44	$1,568.44	$1,568.44
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