Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,714.42 / $3,823.70 / $14,482.00	Facility		$1,714.42	$3,823.70	$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 $4,796.66 / $5,605.28 / $8,598.64	Facility		$4,796.66	$5,605.28	$8,598.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,714.42 / $2,554.48 / $4,046.87	Facility		$1,714.42	$2,554.48	$4,046.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,714.42 / $2,691.32 / $6,235.00	Facility		$1,714.42	$2,691.32	$6,235.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,714.42 / $2,554.48 / $4,046.87	Facility		$1,714.42	$2,554.48	$4,046.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,824.60 / $4,660.13 / $6,956.65	Professional		$3,824.60	$4,660.13	$6,956.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20,256.48 / $20,256.48 / $20,256.48	Facility		$20,256.48	$20,256.48	$20,256.48
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $890.73 / $890.73 / $890.73	Facility	AS	$890.73	$890.73	$890.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $6,032.00 / $19,003.00	Facility		$2,429.00	$6,032.00	$19,003.00