Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,399.92 / $3,078.00 / $14,482.00	Facility		$1,399.92	$3,078.00	$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 $3,916.27 / $4,576.47 / $7,381.68	Facility		$3,916.27	$4,576.47	$7,381.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,399.92 / $2,016.15 / $3,014.92	Facility		$1,399.92	$2,016.15	$3,014.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,504.80 / $2,941.20 / $7,700.00	Facility		$1,504.80	$2,941.20	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,399.92 / $2,016.15 / $3,014.92	Facility		$1,399.92	$2,016.15	$3,014.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,045.90 / $4,703.34 / $6,764.71	Professional		$3,045.90	$4,703.34	$6,764.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21,771.12 / $21,771.12 / $21,771.12	Facility		$21,771.12	$21,771.12	$21,771.12
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $4,433.60 / $4,433.60 / $4,433.60	Facility	62	$4,433.60	$4,433.60	$4,433.60
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