Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.91 / $1,773.18 / $14,482.00	Facility		$927.91	$1,773.18	$14,482.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $463.96 / $886.59 / $1,580.10	Facility	52	$463.96	$886.59	$1,580.10
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 $2,229.37 / $2,605.19 / $4,202.09	Facility		$2,229.37	$2,605.19	$4,202.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $927.91 / $1,183.34 / $2,846.77	Facility		$927.91	$1,183.34	$2,846.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $927.91 / $2,846.77 / $23,474.00	Facility		$927.91	$2,846.77	$23,474.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $927.91 / $1,183.34 / $2,846.77	Facility		$927.91	$1,183.34	$2,846.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,688.70 / $2,607.61 / $3,071.62	Professional		$1,688.70	$2,607.61	$3,071.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $96,178.75 / $96,178.75 / $96,178.75	Facility		$96,178.75	$96,178.75	$96,178.75
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $72,931.03 / $72,931.03 / $72,931.03	Facility	52	$72,931.03	$72,931.03	$72,931.03
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $9,116.37 / $9,116.37 / $9,116.37	Facility	AS	$9,116.37	$9,116.37	$9,116.37
United Facility/Professional Facility Modifier Low / Median / High Price $9,662.00 / $16,424.00 / $23,474.00	Facility		$9,662.00	$16,424.00	$23,474.00