Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,777.30 / $3,965.80 / $14,482.00	Facility		$1,777.30	$3,965.80	$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 $4,963.37 / $5,800.09 / $8,897.49	Facility		$4,963.37	$5,800.09	$8,897.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,777.30 / $2,648.18 / $4,344.96	Facility		$1,777.30	$2,648.18	$4,344.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,784.87 / $2,809.69 / $6,235.00	Facility		$1,784.87	$2,809.69	$6,235.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,777.30 / $2,643.87 / $4,344.96	Facility		$1,777.30	$2,643.87	$4,344.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,126.85 / $5,028.41 / $7,506.42	Professional		$4,126.85	$5,028.41	$7,506.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26,294.51 / $26,294.51 / $26,294.51	Facility		$26,294.51	$26,294.51	$26,294.51
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $961.12 / $961.12 / $961.12	Facility	AS	$961.12	$961.12	$961.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00