Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.06 / $4,233.00 / $14,482.00	Facility		$1,148.06	$4,233.00	$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 $3,049.39 / $3,563.45 / $5,466.43	Facility		$3,049.39	$3,563.45	$5,466.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,148.06 / $1,665.58 / $2,687.38	Facility		$1,148.06	$1,665.58	$2,687.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.06 / $2,374.92 / $14,246.00	Facility		$1,148.06	$2,374.92	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,148.06 / $1,665.58 / $2,687.38	Facility		$1,148.06	$1,665.58	$2,687.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,356.25 / $2,871.00 / $4,285.84	Professional		$2,356.25	$2,871.00	$4,285.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,760.45 / $9,760.45 / $9,760.45	Facility		$9,760.45	$9,760.45	$9,760.45
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $548.76 / $548.76 / $548.76	Facility	AS	$548.76	$548.76	$548.76
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00