Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,697.34 / $3,797.05 / $14,482.00	Facility		$1,697.34	$3,797.05	$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 $4,766.02 / $5,569.48 / $8,983.37	Facility		$4,766.02	$5,569.48	$8,983.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,697.34 / $2,516.56 / $3,703.74	Facility		$1,697.34	$2,516.56	$3,703.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,742.75 / $3,135.29 / $7,700.00	Facility		$1,742.75	$3,135.29	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,697.34 / $2,516.56 / $3,703.74	Facility		$1,697.34	$2,516.56	$3,703.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,950.05 / $6,077.00 / $8,041.05	Professional		$3,950.05	$6,077.00	$8,041.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25,216.62 / $25,216.62 / $25,216.62	Facility		$25,216.62	$25,216.62	$25,216.62
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $919.95 / $919.95 / $919.95	Facility	AS	$919.95	$919.95	$919.95
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