Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,204.41 / $2,518.00 / $14,482.00	Facility		$1,204.41	$2,518.00	$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 $3,190.87 / $3,728.78 / $5,720.04	Facility		$3,190.87	$3,728.78	$5,720.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,204.41 / $1,790.58 / $2,797.78	Facility		$1,204.41	$1,790.58	$2,797.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,204.41 / $2,464.14 / $16,976.00	Facility		$1,204.41	$2,464.14	$16,976.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,204.41 / $1,732.53 / $2,797.78	Facility		$1,204.41	$1,732.53	$2,797.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,469.35 / $3,008.81 / $4,491.56	Professional		$2,469.35	$3,008.81	$4,491.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,144.81 / $16,144.81 / $16,144.81	Facility		$16,144.81	$16,144.81	$16,144.81
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