Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,199.03 / $8,466.00 / $21,801.86	Facility		$1,199.03	$8,466.00	$21,801.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,692.00 / $13,743.77 / $21,606.00	Facility		$5,692.00	$13,743.77	$21,606.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,369.29 / $3,937.28 / $6,039.89	Facility		$3,369.29	$3,937.28	$6,039.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,199.03 / $1,797.10 / $2,837.65	Facility		$1,199.03	$1,797.10	$2,837.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,199.03 / $2,333.23 / $8,384.00	Facility		$1,199.03	$2,333.23	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,199.03 / $1,786.65 / $2,837.65	Facility		$1,199.03	$1,786.65	$2,837.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,728.70 / $3,324.82 / $4,963.30	Professional		$2,728.70	$3,324.82	$4,963.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,334.21 / $14,334.21 / $14,334.21	Facility		$14,334.21	$14,334.21	$14,334.21
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $635.50 / $635.50 / $635.50	Facility	AS	$635.50	$635.50	$635.50
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00