Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,902.93 / $6,388.09 / $17,823.00	Facility		$2,902.93	$6,388.09	$17,823.00
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 $8,112.78 / $9,480.43 / $15,291.60	Facility		$8,112.78	$9,480.43	$15,291.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,902.93 / $4,284.64 / $6,104.17	Facility		$2,902.93	$4,284.64	$6,104.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,803.00 / $4,284.64 / $7,700.00	Facility		$2,803.00	$4,284.64	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,902.93 / $4,284.64 / $6,104.17	Facility		$2,902.93	$4,284.64	$6,104.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,537.70 / $10,058.00 / $13,614.17	Professional		$6,537.70	$10,058.00	$13,614.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $46,223.52 / $46,223.52 / $46,223.52	Facility		$46,223.52	$46,223.52	$46,223.52
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $9,516.21 / $9,516.21 / $9,516.21	Facility	62	$9,516.21	$9,516.21	$9,516.21
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