Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,875.85 / $3,043.51 / $14,482.00	Facility		$1,875.85	$3,043.51	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,769.39 / $4,404.82 / $7,104.83	Facility		$3,769.39	$4,404.82	$7,104.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,487.94 / $2,349.17 / $2,940.00	Facility		$1,487.94	$2,349.17	$2,940.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,713.58 / $2,908.24 / $7,700.00	Facility		$1,713.58	$2,908.24	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,487.94 / $2,349.17 / $2,940.00	Facility		$1,487.94	$2,349.17	$2,940.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,052.40 / $4,713.38 / $6,124.22	Professional		$3,052.40	$4,713.38	$6,124.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28,560.00 / $28,560.00 / $28,560.00	Facility		$28,560.00	$28,560.00	$28,560.00
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