Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,457.58 / $2,378.90 / $14,482.00	Facility		$1,457.58	$2,378.90	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,821.00 / $8,139.00 / $10,914.00	Facility		$4,821.00	$8,139.00	$10,914.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,967.39 / $3,467.63 / $5,593.16	Facility		$2,967.39	$3,467.63	$5,593.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,059.75 / $1,575.00 / $2,470.92	Facility		$1,059.75	$1,575.00	$2,470.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,163.02 / $2,602.67 / $7,700.00	Facility		$1,163.02	$2,602.67	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,059.75 / $1,575.00 / $2,470.92	Facility		$1,059.75	$1,575.00	$2,470.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,372.50 / $3,663.51 / $4,796.52	Professional		$2,372.50	$3,663.51	$4,796.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22,267.04 / $22,267.04 / $22,267.04	Facility		$22,267.04	$22,267.04	$22,267.04
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $552.54 / $552.54 / $552.54	Facility	AS	$552.54	$552.54	$552.54
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