Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,081.54 / $4,216.43 / $17,823.00	Facility		$1,081.54	$4,216.43	$17,823.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $12,066.00 / $18,870.00	Facility		$7,084.00	$12,066.00	$18,870.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,956.57 / $3,454.99 / $5,572.78	Facility		$2,956.57	$3,454.99	$5,572.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,081.54 / $1,345.89 / $3,568.13	Facility		$1,081.54	$1,345.89	$3,568.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,086.06 / $3,568.13 / $14,978.00	Facility		$1,086.06	$3,568.13	$14,978.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,081.54 / $1,345.89 / $3,568.13	Facility		$1,081.54	$1,345.89	$3,568.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,337.40 / $3,596.00 / $4,251.55	Professional		$2,337.40	$3,596.00	$4,251.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,140.95 / $15,140.95 / $15,140.95	Facility		$15,140.95	$15,140.95	$15,140.95
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $544.37 / $544.37 / $544.37	Facility	AS	$544.37	$544.37	$544.37
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