Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,069.48 / $2,391.46 / $14,482.00	Facility		$1,069.48	$2,391.46	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,999.83 / $3,505.54 / $5,377.58	Facility		$2,999.83	$3,505.54	$5,377.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,069.48 / $1,604.22 / $2,657.18	Facility		$1,069.48	$1,604.22	$2,657.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,069.48 / $2,141.06 / $15,090.00	Facility		$1,069.48	$2,141.06	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,069.48 / $1,594.31 / $2,657.18	Facility		$1,069.48	$1,594.31	$2,657.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,453.75 / $2,989.80 / $4,463.18	Professional		$2,453.75	$2,989.80	$4,463.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,887.52 / $1,887.52 / $1,887.52	Facility	AS	$1,887.52	$1,887.52	$1,887.52
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00