Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,046.08 / $2,338.23 / $14,482.00	Facility		$1,046.08	$2,338.23	$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 $2,942.16 / $3,438.14 / $5,274.20	Facility		$2,942.16	$3,438.14	$5,274.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,046.08 / $1,565.38 / $2,598.05	Facility		$1,046.08	$1,565.38	$2,598.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,046.08 / $2,031.03 / $15,090.00	Facility		$1,046.08	$2,031.03	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,046.08 / $1,558.83 / $2,598.05	Facility		$1,046.08	$1,558.83	$2,598.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,373.15 / $2,891.59 / $4,316.58	Professional		$2,373.15	$2,891.59	$4,316.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,132.00 / $17,132.00 / $17,132.00	Facility		$17,132.00	$17,132.00	$17,132.00
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,625.25 / $1,625.25 / $1,625.25	Facility	AS	$1,625.25	$1,625.25	$1,625.25
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