Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,196.72 / $2,532.60 / $14,482.00	Facility		$1,196.72	$2,532.60	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $18,175.43 / $33,604.00	Facility		$12,080.00	$18,175.43	$33,604.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,187.26 / $3,724.57 / $5,713.58	Facility		$3,187.26	$3,724.57	$5,713.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,196.72 / $1,688.40 / $2,644.75	Facility		$1,196.72	$1,688.40	$2,644.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,209.33 / $2,464.00 / $16,976.00	Facility		$1,209.33	$2,464.00	$16,976.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,196.72 / $1,683.32 / $2,644.75	Facility		$1,196.72	$1,683.32	$2,644.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,557.10 / $3,115.73 / $4,651.17	Professional		$2,557.10	$3,115.73	$4,651.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,419.37 / $16,419.37 / $16,419.37	Facility		$16,419.37	$16,419.37	$16,419.37
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $3,722.09 / $3,722.09 / $3,722.09	Facility	62	$3,722.09	$3,722.09	$3,722.09
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $595.54 / $595.54 / $595.54	Facility	AS	$595.54	$595.54	$595.54
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