Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,089.45 / $4,089.76 / $14,482.00	Facility		$1,089.45	$4,089.76	$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 $2,891.69 / $3,379.17 / $5,450.49	Facility		$2,891.69	$3,379.17	$5,450.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,089.45 / $1,579.80 / $2,816.00	Facility		$1,089.45	$1,579.80	$2,816.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,089.45 / $2,293.40 / $14,246.00	Facility		$1,089.45	$2,293.40	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,089.45 / $1,579.80 / $2,816.00	Facility		$1,089.45	$1,579.80	$2,816.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,236.65 / $2,725.27 / $4,068.29	Professional		$2,236.65	$2,725.27	$4,068.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,255.95 / $40,016.00 / $40,016.00	Facility		$9,255.95	$40,016.00	$40,016.00
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $520.90 / $520.90 / $520.90	Facility	AS	$520.90	$520.90	$520.90
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