Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,484.81 / $3,312.63 / $14,482.00	Facility		$1,484.81	$3,312.63	$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 $4,157.77 / $4,858.68 / $7,453.34	Facility		$4,157.77	$4,858.68	$7,453.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,484.81 / $2,227.21 / $3,601.73	Facility		$1,484.81	$2,227.21	$3,601.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,484.81 / $2,810.30 / $15,090.00	Facility		$1,484.81	$2,810.30	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,484.81 / $2,212.37 / $3,601.73	Facility		$1,484.81	$2,212.37	$3,601.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,410.55 / $4,155.62 / $6,203.53	Professional		$3,410.55	$4,155.62	$6,203.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21,827.74 / $21,827.74 / $21,827.74	Facility		$21,827.74	$21,827.74	$21,827.74
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $794.30 / $794.30 / $794.30	Facility	AS	$794.30	$794.30	$794.30
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