Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,035.08 / $1,953.63 / $14,482.00	Facility		$1,035.08	$1,953.63	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $11,015.00 / $15,810.00	Facility		$6,538.00	$11,015.00	$15,810.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,487.98 / $2,907.42 / $4,689.56	Facility		$2,487.98	$2,907.42	$4,689.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $955.11 / $1,163.41 / $3,341.90	Facility		$955.11	$1,163.41	$3,341.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,002.37 / $3,341.90 / $11,598.00	Facility		$1,002.37	$3,341.90	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $955.11 / $1,163.41 / $3,341.90	Facility		$955.11	$1,163.41	$3,341.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,885.00 / $2,833.20 / $3,428.67	Professional		$1,885.00	$2,833.20	$3,428.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,043.20 / $9,043.20 / $9,043.20	Facility		$9,043.20	$9,043.20	$9,043.20
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $439.01 / $439.01 / $439.01	Facility	AS	$439.01	$439.01	$439.01
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00