Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,294.24 / $2,897.01 / $14,482.00	Facility		$1,294.24	$2,897.01	$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 $3,640.52 / $4,254.24 / $6,861.94	Facility		$3,640.52	$4,254.24	$6,861.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,287.56 / $1,651.79 / $2,768.25	Facility		$1,287.56	$1,651.79	$2,768.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,326.12 / $2,768.25 / $7,700.00	Facility		$1,326.12	$2,768.25	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,287.56 / $1,651.79 / $2,768.25	Facility		$1,287.56	$1,651.79	$2,768.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,004.95 / $4,623.00 / $6,097.05	Professional		$3,004.95	$4,623.00	$6,097.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20,934.00 / $20,934.00 / $20,934.00	Facility		$20,934.00	$20,934.00	$20,934.00
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $699.84 / $699.84 / $699.84	Facility	AS	$699.84	$699.84	$699.84
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