Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,796.55 / $4,011.84 / $14,482.00	Facility		$1,796.55	$4,011.84	$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 $5,039.96 / $5,889.60 / $9,034.79	Facility		$5,039.96	$5,889.60	$9,034.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,796.55 / $2,694.83 / $4,401.17	Facility		$1,796.55	$2,694.83	$4,401.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,801.78 / $2,839.00 / $6,235.00	Facility		$1,801.78	$2,839.00	$6,235.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,796.55 / $2,676.86 / $4,401.17	Facility		$1,796.55	$2,676.86	$4,401.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,173.00 / $5,084.64 / $7,590.37	Professional		$4,173.00	$5,084.64	$7,590.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26,682.04 / $26,682.04 / $26,682.04	Facility		$26,682.04	$26,682.04	$26,682.04
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $971.87 / $971.87 / $971.87	Facility	AS	$971.87	$971.87	$971.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,810.00 / $19,003.00	Facility		$2,203.00	$4,810.00	$19,003.00