Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,540.80 / $3,442.81 / $14,482.00	Facility		$1,540.80	$3,442.81	$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 $4,322.67 / $5,051.38 / $7,748.95	Facility		$4,322.67	$5,051.38	$7,748.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,540.80 / $2,311.19 / $3,748.20	Facility		$1,540.80	$2,311.19	$3,748.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,540.80 / $2,521.21 / $6,163.20	Facility		$1,540.80	$2,521.21	$6,163.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,540.80 / $2,295.79 / $3,748.20	Facility		$1,540.80	$2,295.79	$3,748.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,552.90 / $4,329.07 / $6,462.45	Professional		$3,552.90	$4,329.07	$6,462.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22,744.04 / $22,744.04 / $22,744.04	Facility		$22,744.04	$22,744.04	$22,744.04
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $827.45 / $827.45 / $827.45	Facility	AS	$827.45	$827.45	$827.45
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