Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,205.64 / $4,361.04 / $20,961.75	Facility		$1,205.64	$4,361.04	$20,961.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $12,066.00 / $21,984.61	Facility		$7,084.00	$12,066.00	$21,984.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,068.31 / $3,585.57 / $5,783.39	Facility		$3,068.31	$3,585.57	$5,783.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,205.64 / $1,648.32 / $4,740.97	Facility		$1,205.64	$1,648.32	$4,740.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,205.64 / $2,678.00 / $7,700.00	Facility		$1,205.64	$2,678.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,205.64 / $1,648.32 / $4,740.97	Facility		$1,205.64	$1,648.32	$4,740.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,342.60 / $3,617.33 / $4,853.60	Professional		$2,342.60	$3,617.33	$4,853.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,173.12 / $11,173.12 / $11,173.12	Facility		$11,173.12	$11,173.12	$11,173.12
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $545.58 / $545.58 / $545.58	Facility	AS	$545.58	$545.58	$545.58
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