Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,781.13 / $3,031.29 / $14,482.00	Facility		$1,781.13	$3,031.29	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,786.51 / $4,424.83 / $7,137.10	Facility		$3,786.51	$4,424.83	$7,137.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,616.69 / $2,202.29 / $5,663.76	Facility		$1,616.69	$2,202.29	$5,663.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,700.53 / $2,835.00 / $7,700.00	Facility		$1,700.53	$2,835.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,616.69 / $2,202.29 / $5,663.76	Facility		$1,616.69	$2,202.29	$5,663.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,029.00 / $4,660.00 / $5,935.43	Professional		$3,029.00	$4,660.00	$5,935.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28,513.92 / $28,513.92 / $28,513.92	Facility		$28,513.92	$28,513.92	$28,513.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00