Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.57 / $3,709.01 / $14,482.00	Facility		$2,290.57	$3,709.01	$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 $4,629.95 / $5,410.47 / $8,726.89	Facility		$4,629.95	$5,410.47	$8,726.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,813.30 / $2,865.08 / $4,410.00	Facility		$1,813.30	$2,865.08	$4,410.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,083.84 / $3,544.17 / $9,547.50	Facility		$2,083.84	$3,544.17	$9,547.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,813.30 / $2,865.08 / $4,410.00	Facility		$1,813.30	$2,865.08	$4,410.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,710.85 / $5,730.12 / $7,512.76	Professional		$3,710.85	$5,730.12	$7,512.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $41,507.01 / $41,507.01 / $41,507.01	Facility		$41,507.01	$41,507.01	$41,507.01
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $864.24 / $864.24 / $864.24	Facility	AS	$864.24	$864.24	$864.24
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