Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,376.88 / $6,271.96 / $14,482.00	Facility		$3,376.88	$6,271.96	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,908.00 / $18,360.00	Facility		$6,538.00	$10,908.00	$18,360.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,838.84 / $9,160.31 / $14,052.15	Facility		$7,838.84	$9,160.31	$14,052.15
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $2,244.61 / $2,244.61 / $2,244.61	Facility	62	$2,244.61	$2,244.61	$2,244.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,873.72 / $3,568.05 / $6,755.72	Facility		$2,873.72	$3,568.05	$6,755.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,803.00 / $3,763.18 / $8,362.62	Facility		$2,803.00	$3,763.18	$8,362.62
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $9,144.40 / $9,144.40 / $9,144.40	Facility	62	$9,144.40	$9,144.40	$9,144.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,870.35 / $3,568.05 / $6,755.72	Facility		$2,870.35	$3,568.05	$6,755.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,799.00 / $7,733.93 / $12,702.44	Professional		$5,799.00	$7,733.93	$12,702.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,677.58 / $59,160.16 / $59,160.16	Facility		$3,677.58	$59,160.16	$59,160.16
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $2,244.61 / $9,144.40 / $9,144.40	Facility	62	$2,244.61	$9,144.40	$9,144.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00