Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,406.11 / $3,138.12 / $14,482.00	Facility		$1,406.11	$3,138.12	$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 $3,940.60 / $4,604.89 / $7,064.03	Facility		$3,940.60	$4,604.89	$7,064.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,406.11 / $2,109.17 / $3,399.68	Facility		$1,406.11	$2,109.17	$3,399.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,406.11 / $2,781.58 / $15,090.00	Facility		$1,406.11	$2,781.58	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,406.11 / $2,095.10 / $3,399.68	Facility		$1,406.11	$2,095.10	$3,399.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,223.35 / $3,927.53 / $5,863.03	Professional		$3,223.35	$3,927.53	$5,863.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $20,662.07	Facility		$7,213.88	$7,213.88	$20,662.07
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