Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,031.58 / $4,535.72 / $14,482.00	Facility		$2,031.58	$4,535.72	$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 $5,693.28 / $6,653.04 / $10,731.12	Facility		$5,693.28	$6,653.04	$10,731.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,031.58 / $2,621.76 / $4,334.14	Facility		$2,031.58	$2,621.76	$4,334.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,085.61 / $3,213.32 / $7,700.00	Facility		$2,085.61	$3,213.32	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,031.58 / $2,621.76 / $4,334.14	Facility		$2,031.58	$2,621.76	$4,334.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,728.10 / $7,274.00 / $9,606.82	Professional		$4,728.10	$7,274.00	$9,606.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32,944.92 / $32,944.92 / $32,944.92	Facility		$32,944.92	$32,944.92	$32,944.92
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,101.15 / $1,101.15 / $1,101.15	Facility	AS	$1,101.15	$1,101.15	$1,101.15
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