Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,373.58 / $2,214.61 / $14,482.00	Facility		$1,373.58	$2,214.61	$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 $2,766.44 / $3,232.80 / $5,214.39	Facility		$2,766.44	$3,232.80	$5,214.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,082.70 / $1,725.02 / $2,590.50	Facility		$1,082.70	$1,725.02	$2,590.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,253.52 / $2,678.00 / $7,700.00	Facility		$1,253.52	$2,678.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,082.70 / $1,725.02 / $2,590.50	Facility		$1,082.70	$1,725.02	$2,590.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,234.05 / $3,449.72 / $4,507.89	Professional		$2,234.05	$3,449.72	$4,507.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21,076.48 / $21,076.48 / $21,076.48	Facility		$21,076.48	$21,076.48	$21,076.48
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $520.29 / $520.29 / $520.29	Facility	AS	$520.29	$520.29	$520.29
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