Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $702.77 / $1,136.32 / $14,482.00	Facility		$702.77	$1,136.32	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,414.76 / $1,653.26 / $2,666.65	Facility		$1,414.76	$1,653.26	$2,666.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $555.53 / $880.74 / $1,241.92	Facility		$555.53	$880.74	$1,241.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $640.91 / $8,627.00 / $16,779.00	Facility		$640.91	$8,627.00	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $555.53 / $880.74 / $1,241.92	Facility		$555.53	$880.74	$1,241.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,142.05 / $1,763.50 / $2,299.14	Professional		$1,142.05	$1,763.50	$2,299.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,856.55 / $13,856.55 / $13,856.55	Facility		$13,856.55	$13,856.55	$13,856.55
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,314.53 / $1,314.53 / $1,314.53	Facility	AS	$1,314.53	$1,314.53	$1,314.53
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00