Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $861.08 / $1,794.60 / $14,482.00	Facility		$861.08	$1,794.60	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,692.00 / $13,743.77 / $21,606.00	Facility		$5,692.00	$13,743.77	$21,606.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,267.21 / $2,649.42 / $4,064.28	Facility		$2,267.21	$2,649.42	$4,064.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $861.08 / $1,128.72 / $1,902.99	Facility		$861.08	$1,128.72	$1,902.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $861.08 / $1,782.09 / $11,598.00	Facility		$861.08	$1,782.09	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $861.08 / $1,128.72 / $1,902.99	Facility		$861.08	$1,128.72	$1,902.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,749.80 / $2,132.06 / $3,182.75	Professional		$1,749.80	$2,132.06	$3,182.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,132.00 / $17,132.00 / $17,132.00	Facility		$17,132.00	$17,132.00	$17,132.00
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,625.25 / $1,625.25 / $1,625.25	Facility	AS	$1,625.25	$1,625.25	$1,625.25
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00