Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,559.62 / $3,303.88 / $14,482.00	Facility		$1,559.62	$3,303.88	$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 $4,147.85 / $4,847.10 / $7,435.57	Facility		$4,147.85	$4,847.10	$7,435.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,559.62 / $2,339.42 / $3,501.10	Facility		$1,559.62	$2,339.42	$3,501.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,579.36 / $3,230.42 / $16,976.00	Facility		$1,579.36	$3,230.42	$16,976.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,559.62 / $2,272.19 / $3,501.10	Facility		$1,559.62	$2,272.19	$3,501.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,335.15 / $4,063.75 / $6,066.38	Professional		$3,335.15	$4,063.75	$6,066.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31,243.20 / $31,243.20 / $31,243.20	Facility		$31,243.20	$31,243.20	$31,243.20
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $776.74 / $776.74 / $776.74	Facility	AS	$776.74	$776.74	$776.74
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