Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,669.04 / $3,519.29 / $14,482.00	Facility		$1,669.04	$3,519.29	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,006.00 / $18,294.00	Facility		$5,060.00	$8,006.00	$18,294.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,431.71 / $5,178.80 / $7,944.41	Facility		$4,431.71	$5,178.80	$7,944.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,669.04 / $2,450.59 / $3,910.33	Facility		$1,669.04	$2,450.59	$3,910.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,682.61 / $3,446.84 / $14,246.00	Facility		$1,682.61	$3,446.84	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,669.04 / $2,385.81 / $3,910.33	Facility		$1,669.04	$2,385.81	$3,910.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,541.85 / $4,315.60 / $6,442.35	Professional		$3,541.85	$4,315.60	$6,442.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22,853.60 / $22,853.60 / $22,853.60	Facility		$22,853.60	$22,853.60	$22,853.60
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $824.88 / $824.88 / $824.88	Facility	AS	$824.88	$824.88	$824.88
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00