Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,149.23 / $2,552.38 / $14,482.00	Facility		$1,149.23	$2,552.38	$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 $3,219.70 / $3,762.48 / $6,068.74	Facility		$3,219.70	$3,762.48	$6,068.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,149.23 / $1,684.39 / $2,826.00	Facility		$1,149.23	$1,684.39	$2,826.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,247.83 / $7,088.40 / $16,779.00	Facility		$1,247.83	$7,088.40	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,149.23 / $1,704.08 / $2,826.00	Facility		$1,149.23	$1,704.08	$2,826.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,564.90 / $3,946.00 / $5,452.12	Professional		$2,564.90	$3,946.00	$5,452.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,129.36 / $18,129.36 / $18,129.36	Facility		$18,129.36	$18,129.36	$18,129.36
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $597.35 / $597.35 / $597.35	Facility	AS	$597.35	$597.35	$597.35
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $13,752.00 / $17,327.00	Facility		$8,627.00	$13,752.00	$17,327.00