Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,098.56 / $2,463.57 / $14,482.00	Facility		$1,098.56	$2,463.57	$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 $3,094.45 / $3,616.11 / $5,547.20	Facility		$3,094.45	$3,616.11	$5,547.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,098.56 / $1,647.84 / $2,737.30	Facility		$1,098.56	$1,647.84	$2,737.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,098.56 / $2,099.80 / $15,090.00	Facility		$1,098.56	$2,099.80	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,098.56 / $1,642.38 / $2,737.30	Facility		$1,098.56	$1,642.38	$2,737.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,526.55 / $3,078.50 / $4,595.60	Professional		$2,526.55	$3,078.50	$4,595.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20,564.59 / $20,564.59 / $20,564.59	Facility		$20,564.59	$20,564.59	$20,564.59
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