Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,158.11 / $3,369.35 / $14,482.00	Facility		$2,158.11	$3,369.35	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $18,175.43 / $28,720.00	Facility		$12,080.00	$18,175.43	$28,720.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,322.67 / $5,051.38 / $8,147.70	Facility		$4,322.67	$5,051.38	$8,147.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,647.24 / $2,425.08 / $3,236.85	Facility		$1,647.24	$2,425.08	$3,236.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,796.99 / $3,236.85 / $7,868.00	Facility		$1,796.99	$3,236.85	$7,868.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,647.24 / $2,425.08 / $3,236.85	Facility		$1,647.24	$2,425.08	$3,236.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,416.40 / $5,275.45 / $7,053.74	Professional		$3,416.40	$5,275.45	$7,053.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22,711.70 / $22,711.70 / $22,711.70	Facility		$22,711.70	$22,711.70	$22,711.70
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