Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,763.92 / $3,935.93 / $14,482.00	Facility		$1,763.92	$3,935.93	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,401.00 / $25,162.36	Facility		$11,499.00	$16,401.00	$25,162.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,934.53 / $5,766.39 / $9,300.99	Facility		$4,934.53	$5,766.39	$9,300.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,763.92 / $2,433.50 / $3,780.00	Facility		$1,763.92	$2,433.50	$3,780.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,811.89 / $2,803.00 / $7,700.00	Facility		$1,811.89	$2,803.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,763.92 / $2,433.50 / $3,780.00	Facility		$1,763.92	$2,433.50	$3,780.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,108.00 / $6,320.00 / $8,412.92	Professional		$4,108.00	$6,320.00	$8,412.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26,216.52 / $26,216.52 / $26,216.52	Facility		$26,216.52	$26,216.52	$26,216.52
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $956.73 / $956.73 / $956.73	Facility	AS	$956.73	$956.73	$956.73
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