Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,699.02 / $3,798.58 / $14,482.00	Facility		$1,699.02	$3,798.58	$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 $4,762.42 / $5,565.26 / $8,537.26	Facility		$4,762.42	$5,565.26	$8,537.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,699.02 / $2,548.53 / $3,990.00	Facility		$1,699.02	$2,548.53	$3,990.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,700.41 / $3,335.43 / $16,976.00	Facility		$1,700.41	$3,335.43	$16,976.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,699.02 / $2,532.39 / $3,990.00	Facility		$1,699.02	$2,532.39	$3,990.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,948.75 / $4,811.39 / $7,182.47	Professional		$3,948.75	$4,811.39	$7,182.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20,590.38 / $20,590.38 / $20,590.38	Facility		$20,590.38	$20,590.38	$20,590.38
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $919.64 / $919.64 / $919.64	Facility	AS	$919.64	$919.64	$919.64
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