Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,371.38 / $4,808.00 / $14,482.00	Facility		$2,371.38	$4,808.00	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,019.00	Facility		$13,123.00	$18,187.00	$24,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,017.68 / $7,032.13 / $11,342.58	Facility		$6,017.68	$7,032.13	$11,342.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,350.58 / $2,774.51 / $4,594.31	Facility		$2,350.58	$2,774.51	$4,594.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,350.58 / $3,462.94 / $7,700.00	Facility		$2,350.58	$3,462.94	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,371.38 / $2,999.99 / $4,594.31	Facility		$2,371.38	$2,999.99	$4,594.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,784.64 / $7,361.00 / $9,371.90	Professional		$4,784.64	$7,361.00	$9,371.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30,932.44 / $30,932.44 / $30,932.44	Facility		$30,932.44	$30,932.44	$30,932.44
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $6,964.51 / $6,964.51 / $6,964.51	Facility	62	$6,964.51	$6,964.51	$6,964.51
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,114.32 / $1,114.32 / $1,114.32	Facility	AS	$1,114.32	$1,114.32	$1,114.32
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