Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,073.18 / $2,404.62 / $14,482.00	Facility		$1,073.18	$2,404.62	$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 $3,014.25 / $3,522.39 / $5,403.43	Facility		$3,014.25	$3,522.39	$5,403.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,073.18 / $1,609.77 / $2,671.80	Facility		$1,073.18	$1,609.77	$2,671.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,073.18 / $2,095.76 / $15,090.00	Facility		$1,073.18	$2,095.76	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,073.18 / $1,603.08 / $2,671.80	Facility		$1,073.18	$1,603.08	$2,671.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,464.80 / $3,003.26 / $4,483.28	Professional		$2,464.80	$3,003.26	$4,483.28
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