Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,745.84 / $9,284.70 / $16,547.40	Facility		$5,745.84	$9,284.70	$16,547.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,019.00	Facility		$13,123.00	$18,187.00	$24,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,575.79 / $13,527.22 / $21,818.93	Facility		$11,575.79	$13,527.22	$21,818.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,539.18 / $7,194.56 / $10,152.37	Facility		$4,539.18	$7,194.56	$10,152.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,678.00 / $5,226.47 / $10,152.37	Facility		$2,678.00	$5,226.47	$10,152.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4,539.18 / $7,194.56 / $10,152.37	Facility		$4,539.18	$7,194.56	$10,152.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9,308.65 / $14,373.99 / $18,807.93	Professional		$9,308.65	$14,373.99	$18,807.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $115,030.23 / $115,030.23 / $115,030.23	Facility		$115,030.23	$115,030.23	$115,030.23
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $13,549.59 / $13,549.59 / $13,549.59	Facility	62	$13,549.59	$13,549.59	$13,549.59
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,167.94 / $2,167.94 / $2,167.94	Facility	AS	$2,167.94	$2,167.94	$2,167.94
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