Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,077.99 / $2,413.87 / $14,482.00	Facility		$1,077.99	$2,413.87	$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 $3,036.77 / $3,548.71 / $5,443.81	Facility		$3,036.77	$3,548.71	$5,443.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,077.99 / $1,614.82 / $2,682.08	Facility		$1,077.99	$1,614.82	$2,682.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,077.99 / $2,065.81 / $15,090.00	Facility		$1,077.99	$2,065.81	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,077.99 / $1,609.25 / $2,682.08	Facility		$1,077.99	$1,609.25	$2,682.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,445.94 / $2,980.30 / $4,448.99	Professional		$2,445.94	$2,980.30	$4,448.99
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 $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00