Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,705.84 / $5,990.78 / $14,482.00	Facility		$3,705.84	$5,990.78	$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 $7,462.17 / $8,720.14 / $14,065.28	Facility		$7,462.17	$8,720.14	$14,065.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,928.83 / $4,644.67 / $6,563.24	Facility		$2,928.83	$4,644.67	$6,563.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,678.00 / $4,602.00 / $9,547.50	Facility		$2,678.00	$4,602.00	$9,547.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,928.83 / $4,644.67 / $6,563.24	Facility		$2,928.83	$4,644.67	$6,563.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,010.55 / $9,281.20 / $12,137.20	Professional		$6,010.55	$9,281.20	$12,137.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $74,272.38 / $74,272.38 / $74,272.38	Facility		$74,272.38	$74,272.38	$74,272.38
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,399.83 / $1,399.83 / $1,399.83	Facility	AS	$1,399.83	$1,399.83	$1,399.83
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