Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,653.10 / $5,888.36 / $14,482.00	Facility		$3,653.10	$5,888.36	$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 $7,352.24 / $8,591.67 / $13,858.06	Facility		$7,352.24	$8,591.67	$13,858.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,878.76 / $4,049.74 / $5,626.66	Facility		$2,878.76	$4,049.74	$5,626.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,553.00 / $4,049.74 / $7,700.00	Facility		$2,553.00	$4,049.74	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,878.76 / $4,049.74 / $5,626.66	Facility		$2,878.76	$4,049.74	$5,626.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,885.10 / $9,087.50 / $11,943.67	Professional		$5,885.10	$9,087.50	$11,943.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $72,863.28 / $72,863.28 / $72,863.28	Facility		$72,863.28	$72,863.28	$72,863.28
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,370.61 / $1,370.61 / $1,370.61	Facility	AS	$1,370.61	$1,370.61	$1,370.61
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