Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.99 / $1,545.34 / $14,482.00	Facility		$759.99	$1,545.34	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $16,493.00 / $23,358.00	Facility		$12,080.00	$16,493.00	$23,358.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,941.91 / $2,269.28 / $3,660.27	Facility		$1,941.91	$2,269.28	$3,660.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $758.97 / $1,035.40 / $3,658.43	Facility		$758.97	$1,035.40	$3,658.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $759.99 / $3,658.43 / $19,754.00	Facility		$759.99	$3,658.43	$19,754.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $758.97 / $1,100.07 / $3,658.43	Facility		$758.97	$1,100.07	$3,658.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,471.60 / $2,272.38 / $3,050.41	Professional		$1,471.60	$2,272.38	$3,050.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60,555.25 / $60,555.25 / $60,555.25	Facility		$60,555.25	$60,555.25	$60,555.25
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $5,739.78 / $5,739.78 / $5,739.78	Facility	AS	$5,739.78	$5,739.78	$5,739.78
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $17,119.00 / $22,372.00	Facility		$8,650.00	$17,119.00	$22,372.00