Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,537.78 / $2,537.78 / $4,522.88	Facility		$2,537.78	$2,537.78	$4,522.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,241.00 / $27,412.00	Facility		$11,499.00	$16,241.00	$27,412.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,197.17 / $3,736.15 / $5,731.35	Facility		$3,197.17	$3,736.15	$5,731.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,205.34 / $1,795.42 / $2,932.16	Facility		$1,205.34	$1,795.42	$2,932.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,205.34 / $2,533.80 / $14,246.00	Facility		$1,205.34	$2,533.80	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,205.34 / $1,795.42 / $2,932.16	Facility		$1,205.34	$1,795.42	$2,932.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,475.85 / $3,016.73 / $4,503.38	Professional		$2,475.85	$3,016.73	$4,503.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,318.30 / $7,318.30 / $7,318.30	Facility		$7,318.30	$7,318.30	$7,318.30
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $576.61 / $576.61 / $576.61	Facility	AS	$576.61	$576.61	$576.61