Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,045.48 / $2,350.06 / $14,482.00	Facility		$1,045.48	$2,350.06	$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 $2,948.46 / $3,445.51 / $5,285.51	Facility		$2,948.46	$3,445.51	$5,285.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,045.48 / $1,557.77 / $2,452.41	Facility		$1,045.48	$1,557.77	$2,452.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,045.48 / $2,027.09 / $15,090.00	Facility		$1,045.48	$2,027.09	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,045.48 / $1,557.77 / $2,452.41	Facility		$1,045.48	$1,557.77	$2,452.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,402.40 / $2,927.23 / $4,369.78	Professional		$2,402.40	$2,927.23	$4,369.78
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 $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00