Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,341.27 / $2,978.75 / $17,823.00	Facility		$1,341.27	$2,978.75	$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 $3,749.56 / $4,381.66 / $7,067.46	Facility		$3,749.56	$4,381.66	$7,067.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,341.27 / $1,774.50 / $2,908.56	Facility		$1,341.27	$1,774.50	$2,908.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,456.28 / $2,803.00 / $7,700.00	Facility		$1,456.28	$2,803.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,341.27 / $1,774.50 / $2,908.56	Facility		$1,341.27	$1,774.50	$2,908.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,995.20 / $4,608.00 / $6,339.18	Professional		$2,995.20	$4,608.00	$6,339.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21,130.56 / $21,130.56 / $21,130.56	Facility		$21,130.56	$21,130.56	$21,130.56
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $4,359.80 / $4,359.80 / $4,359.80	Facility	62	$4,359.80	$4,359.80	$4,359.80
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