Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,358.49 / $3,034.64 / $14,482.00	Facility		$1,358.49	$3,034.64	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,241.00 / $22,519.00	Facility		$11,499.00	$16,241.00	$22,519.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,809.94 / $4,452.21 / $6,829.81	Facility		$3,809.94	$4,452.21	$6,829.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,358.49 / $2,037.74 / $3,371.83	Facility		$1,358.49	$2,037.74	$3,371.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,358.49 / $2,899.77 / $16,976.00	Facility		$1,358.49	$2,899.77	$16,976.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,358.49 / $2,037.74 / $3,371.83	Facility		$1,358.49	$2,037.74	$3,371.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,107.65 / $3,786.55 / $5,652.58	Professional		$3,107.65	$3,786.55	$5,652.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,278.30 / $16,278.30 / $16,278.30	Facility		$16,278.30	$16,278.30	$16,278.30
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $723.76 / $723.76 / $723.76	Facility	AS	$723.76	$723.76	$723.76
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $14,566.00 / $19,562.00	Facility		$8,650.00	$14,566.00	$19,562.00