Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,175.28 / $4,851.77 / $14,482.00	Facility		$2,175.28	$4,851.77	$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 $6,080.76 / $7,105.85 / $11,461.48	Facility		$6,080.76	$7,105.85	$11,461.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,175.28 / $3,232.36 / $4,636.13	Facility		$2,175.28	$3,232.36	$4,636.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,233.80 / $3,442.95 / $7,700.00	Facility		$2,233.80	$3,442.95	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,175.28 / $3,232.36 / $4,636.13	Facility		$2,175.28	$3,232.36	$4,636.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,064.80 / $7,792.00 / $10,304.26	Professional		$5,064.80	$7,792.00	$10,304.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35,236.08 / $35,236.08 / $35,236.08	Facility		$35,236.08	$35,236.08	$35,236.08
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,179.57 / $1,179.57 / $1,179.57	Facility	AS	$1,179.57	$1,179.57	$1,179.57
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