Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,325.19 / $2,955.20 / $14,482.00	Facility		$1,325.19	$2,955.20	$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 $3,710.81 / $4,336.38 / $6,652.11	Facility		$3,710.81	$4,336.38	$6,652.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,325.19 / $1,978.05 / $3,173.14	Facility		$1,325.19	$1,978.05	$3,173.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,325.19 / $2,550.40 / $15,090.00	Facility		$1,325.19	$2,550.40	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,325.19 / $1,974.53 / $3,173.14	Facility		$1,325.19	$1,974.53	$3,173.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,030.30 / $3,692.30 / $5,511.88	Professional		$3,030.30	$3,692.30	$5,511.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24,725.26 / $24,725.26 / $24,725.26	Facility		$24,725.26	$24,725.26	$24,725.26
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 $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00