Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,216.27 / $2,697.59 / $14,482.00	Facility		$1,216.27	$2,697.59	$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 $3,419.75 / $3,996.25 / $6,445.81	Facility		$3,419.75	$3,996.25	$6,445.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,216.27 / $1,790.52 / $2,632.01	Facility		$1,216.27	$1,790.52	$2,632.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.82 / $2,632.01 / $7,700.00	Facility		$1,318.82	$2,632.01	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,216.27 / $1,844.71 / $2,632.01	Facility		$1,216.27	$1,844.71	$2,632.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,790.45 / $4,293.00 / $5,734.98	Professional		$2,790.45	$4,293.00	$5,734.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,717.20 / $19,717.20 / $19,717.20	Facility		$19,717.20	$19,717.20	$19,717.20
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $649.88 / $649.88 / $649.88	Facility	AS	$649.88	$649.88	$649.88
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