Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,442.80 / $3,215.16 / $14,482.00	Facility		$1,442.80	$3,215.16	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,870.00 / $16,083.00 / $22,519.00	Facility		$10,870.00	$16,083.00	$22,519.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,046.93 / $4,729.16 / $7,254.65	Facility		$4,046.93	$4,729.16	$7,254.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,442.80 / $2,164.19 / $3,484.95	Facility		$1,442.80	$2,164.19	$3,484.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,442.80 / $2,810.30 / $15,090.00	Facility		$1,442.80	$2,810.30	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,442.80 / $2,149.77 / $3,484.95	Facility		$1,442.80	$2,149.77	$3,484.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,308.50 / $4,031.28 / $6,017.91	Professional		$3,308.50	$4,031.28	$6,017.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21,257.83 / $21,257.83 / $21,257.83	Facility		$21,257.83	$21,257.83	$21,257.83
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $770.53 / $770.53 / $770.53	Facility	AS	$770.53	$770.53	$770.53
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