Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $808.44 / $1,752.61 / $14,482.00	Facility		$808.44	$1,752.61	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,838.00 / $18,458.00	Facility		$7,084.00	$11,838.00	$18,458.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,199.63 / $2,570.44 / $4,146.04	Facility		$2,199.63	$2,570.44	$4,146.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $808.44 / $1,157.21 / $3,158.33	Facility		$808.44	$1,157.21	$3,158.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $856.83 / $3,158.33 / $16,779.00	Facility		$856.83	$3,158.33	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $808.44 / $1,157.21 / $3,158.33	Facility		$808.44	$1,157.21	$3,158.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,741.35 / $2,679.00 / $3,656.69	Professional		$1,741.35	$2,679.00	$3,656.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,223.75 / $16,223.75 / $16,223.75	Facility		$16,223.75	$16,223.75	$16,223.75
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,537.78 / $1,537.78 / $1,537.78	Facility	AS	$1,537.78	$1,537.78	$1,537.78
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $12,373.00 / $15,090.00	Facility		$7,984.00	$12,373.00	$15,090.00