Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,010.76 / $4,484.39 / $14,482.00	Facility		$2,010.76	$4,484.39	$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 $5,639.21 / $6,589.86 / $10,109.02	Facility		$5,639.21	$6,589.86	$10,109.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,010.76 / $2,996.03 / $4,484.39	Facility		$2,010.76	$2,996.03	$4,484.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,010.76 / $3,137.44 / $6,235.00	Facility		$2,010.76	$3,137.44	$6,235.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,010.76 / $2,996.03 / $4,484.39	Facility		$2,010.76	$2,996.03	$4,484.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,590.95 / $5,593.90 / $8,350.58	Professional		$4,590.95	$5,593.90	$8,350.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29,528.18 / $29,528.18 / $29,528.18	Facility		$29,528.18	$29,528.18	$29,528.18
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,069.21 / $1,069.21 / $1,069.21	Facility	AS	$1,069.21	$1,069.21	$1,069.21
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