Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,314.78 / $5,368.12 / $14,482.00	Facility		$3,314.78	$5,368.12	$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 $6,696.22 / $7,825.07 / $12,621.55	Facility		$6,696.22	$7,825.07	$12,621.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,624.41 / $4,147.42 / $5,807.44	Facility		$2,624.41	$4,147.42	$5,807.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,624.41 / $4,096.39 / $9,547.50	Facility		$2,624.41	$4,096.39	$9,547.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,624.41 / $4,147.42 / $5,807.44	Facility		$2,624.41	$4,147.42	$5,807.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,372.90 / $8,296.58 / $10,869.88	Professional		$5,372.90	$8,296.58	$10,869.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $66,415.64 / $66,415.64 / $66,415.64	Facility		$66,415.64	$66,415.64	$66,415.64
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,251.32 / $1,251.32 / $1,251.32	Facility	AS	$1,251.32	$1,251.32	$1,251.32
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