Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $903.02 / $4,086.05 / $14,482.00	Facility		$903.02	$4,086.05	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,150.96 / $2,513.58 / $4,054.32	Facility		$2,150.96	$2,513.58	$4,054.32
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $838.67 / $1,018.40 / $3,711.02	Facility		$838.67	$1,018.40	$3,711.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $903.02 / $4,017.00 / $12,622.22	Facility		$903.02	$4,017.00	$12,622.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $838.67 / $1,018.40 / $3,711.02	Facility		$838.67	$1,018.40	$3,711.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,641.90 / $2,526.00 / $2,986.49	Professional		$1,641.90	$2,526.00	$2,986.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,623.50 / $12,623.50 / $12,623.50	Facility		$12,623.50	$12,623.50	$12,623.50
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,196.53 / $1,196.53 / $1,196.53	Facility	AS	$1,196.53	$1,196.53	$1,196.53
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