Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,302.89 / $2,902.19 / $14,482.00	Facility		$1,302.89	$2,902.19	$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 $3,648.63 / $4,263.72 / $6,540.65	Facility		$3,648.63	$4,263.72	$6,540.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,302.89 / $1,952.24 / $3,084.14	Facility		$1,302.89	$1,952.24	$3,084.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,302.89 / $2,536.81 / $15,090.00	Facility		$1,302.89	$2,536.81	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,302.89 / $1,941.31 / $3,084.14	Facility		$1,302.89	$1,941.31	$3,084.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,946.45 / $3,590.14 / $5,359.37	Professional		$2,946.45	$3,590.14	$5,359.37
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