Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,994.23 / $4,463.14 / $14,482.00	Facility		$1,994.23	$4,463.14	$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 $5,581.54 / $6,522.47 / $10,005.62	Facility		$5,581.54	$6,522.47	$10,005.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,994.23 / $2,971.40 / $4,463.14	Facility		$1,994.23	$2,971.40	$4,463.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,994.23 / $3,086.24 / $6,235.00	Facility		$1,994.23	$3,086.24	$6,235.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,994.23 / $2,971.40 / $4,463.14	Facility		$1,994.23	$2,971.40	$4,463.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,542.20 / $5,534.50 / $8,261.91	Professional		$4,542.20	$5,534.50	$8,261.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23,769.27 / $23,769.27 / $23,769.27	Facility		$23,769.27	$23,769.27	$23,769.27
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,057.84 / $1,057.84 / $1,057.84	Facility	AS	$1,057.84	$1,057.84	$1,057.84
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