Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,526.45 / $5,069.20 / $14,482.00	Facility		$1,526.45	$5,069.20	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,563.03 / $4,163.68 / $6,387.19	Facility		$3,563.03	$4,163.68	$6,387.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,354.86 / $1,722.10 / $2,922.85	Facility		$1,354.86	$1,722.10	$2,922.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,351.51 / $1,932.89 / $5,728.00	Facility		$1,351.51	$1,932.89	$5,728.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,338.27 / $1,728.71 / $2,922.85	Facility		$1,338.27	$1,728.71	$2,922.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,614.80 / $3,487.27 / $5,755.19	Professional		$2,614.80	$3,487.27	$5,755.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,648.88 / $13,347.28 / $13,347.28	Facility		$1,648.88	$13,347.28	$13,347.28
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