Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,490.01 / $3,321.58 / $14,482.00	Facility		$1,490.01	$3,321.58	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,401.00 / $25,162.36	Facility		$11,499.00	$16,401.00	$25,162.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,170.38 / $4,873.42 / $7,475.96	Facility		$4,170.38	$4,873.42	$7,475.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,490.01 / $2,214.39 / $3,538.50	Facility		$1,490.01	$2,214.39	$3,538.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,490.01 / $2,337.78 / $6,235.00	Facility		$1,490.01	$2,337.78	$6,235.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,490.01 / $2,086.01 / $3,538.50	Facility		$1,490.01	$2,086.01	$3,538.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,341.65 / $4,071.67 / $6,078.20	Professional		$3,341.65	$4,071.67	$6,078.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27,434.68 / $27,434.68 / $27,434.68	Facility		$27,434.68	$27,434.68	$27,434.68
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $778.25 / $778.25 / $778.25	Facility	AS	$778.25	$778.25	$778.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,810.00 / $19,003.00	Facility		$2,203.00	$4,810.00	$19,003.00