Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,680.30 / $6,826.25 / $14,482.00	Facility		$3,680.30	$6,826.25	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,523.00 / $18,603.00	Facility		$7,084.00	$11,523.00	$18,603.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,542.62 / $9,982.71 / $15,313.76	Facility		$8,542.62	$9,982.71	$15,313.76
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $2,448.96 / $2,448.96 / $2,448.96	Facility	62	$2,448.96	$2,448.96	$2,448.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $391.83 / $391.83 / $391.83	Facility	AS	$391.83	$391.83	$391.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,337.28 / $4,065.58 / $6,616.43	Facility		$3,337.28	$4,065.58	$6,616.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,153.07 / $4,247.45 / $7,565.00	Facility		$3,153.07	$4,247.45	$7,565.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $9,961.85 / $9,961.85 / $9,961.85	Facility	62	$9,961.85	$9,961.85	$9,961.85
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,593.90 / $1,593.90 / $1,593.90	Facility	AS	$1,593.90	$1,593.90	$1,593.90
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,337.28 / $4,136.26 / $6,616.43	Facility		$3,337.28	$4,136.26	$6,616.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,317.40 / $8,425.31 / $13,848.09	Professional		$6,317.40	$8,425.31	$13,848.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,013.89 / $64,529.44 / $64,529.44	Facility		$4,013.89	$64,529.44	$64,529.44
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $2,448.96 / $9,961.85 / $9,961.85	Facility	62	$2,448.96	$9,961.85	$9,961.85
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $391.83 / $1,593.90 / $1,593.90	Facility	AS	$391.83	$1,593.90	$1,593.90
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