Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.95 / $4,233.00 / $14,482.00	Facility		$1,122.95	$4,233.00	$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 $3,161.13 / $3,694.03 / $5,666.74	Facility		$3,161.13	$3,694.03	$5,666.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,122.95 / $1,684.43 / $3,595.30	Facility		$1,122.95	$1,684.43	$3,595.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.95 / $2,400.78 / $15,090.00	Facility		$1,122.95	$2,400.78	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,122.95 / $1,684.43 / $3,595.30	Facility		$1,122.95	$1,684.43	$3,595.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,561.00 / $3,120.48 / $4,658.26	Professional		$2,561.00	$3,120.48	$4,658.26
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 62 Low / Median / High Price $11,796.97 / $11,796.97 / $11,796.97	Facility	62	$11,796.97	$11,796.97	$11,796.97
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 $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00