Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,144.24 / $4,557.93 / $17,823.00	Facility		$1,144.24	$4,557.93	$17,823.00
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 $3,218.80 / $3,761.42 / $5,770.12	Facility		$3,218.80	$3,761.42	$5,770.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,144.24 / $1,712.83 / $2,920.20	Facility		$1,144.24	$1,712.83	$2,920.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,144.24 / $2,443.78 / $15,090.00	Facility		$1,144.24	$2,443.78	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,144.24 / $1,712.83 / $2,920.20	Facility		$1,144.24	$1,712.83	$2,920.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,564.90 / $3,125.23 / $4,665.35	Professional		$2,564.90	$3,125.23	$4,665.35
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