Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,616.12 / $3,616.83 / $14,482.00	Facility		$1,616.12	$3,616.83	$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 $4,524.52 / $5,287.26 / $8,528.17	Facility		$4,524.52	$5,287.26	$8,528.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,616.12 / $2,408.28 / $3,456.08	Facility		$1,616.12	$2,408.28	$3,456.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,716.00 / $2,803.00 / $7,700.00	Facility		$1,716.00	$2,803.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,616.12 / $2,408.28 / $3,456.08	Facility		$1,616.12	$2,408.28	$3,456.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,769.35 / $5,799.00 / $7,705.75	Professional		$3,769.35	$5,799.00	$7,705.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26,184.36 / $26,184.36 / $26,184.36	Facility		$26,184.36	$26,184.36	$26,184.36
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $877.86 / $877.86 / $877.86	Facility	AS	$877.86	$877.86	$877.86
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