Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,103.24 / $2,473.36 / $29,824.42	Facility		$1,103.24	$2,473.36	$29,824.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,955.00 / $13,152.00	Facility		$5,060.00	$7,955.00	$13,152.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,111.57 / $3,636.11 / $5,864.92	Facility		$3,111.57	$3,636.11	$5,864.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,103.24 / $1,619.83 / $2,363.42	Facility		$1,103.24	$1,619.83	$2,363.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,209.20 / $2,420.56 / $7,700.00	Facility		$1,209.20	$2,420.56	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,103.24 / $1,672.54 / $2,363.42	Facility		$1,103.24	$1,672.54	$2,363.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,555.15 / $3,931.00 / $5,175.29	Professional		$2,555.15	$3,931.00	$5,175.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,848.60 / $14,848.60 / $14,848.60	Facility		$14,848.60	$14,848.60	$14,848.60
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $595.08 / $595.08 / $595.08	Facility	AS	$595.08	$595.08	$595.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00