Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,052.98 / $12,474.00 / $20,235.65	Facility		$1,052.98	$12,474.00	$20,235.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,141.00 / $22,609.00	Facility		$10,878.00	$15,141.00	$22,609.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,506.01 / $2,928.48 / $4,723.53	Facility		$2,506.01	$2,928.48	$4,723.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $981.08 / $1,188.81 / $4,001.74	Facility		$981.08	$1,188.81	$4,001.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,052.98 / $6,154.00 / $16,779.00	Facility		$1,052.98	$6,154.00	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $981.08 / $1,188.81 / $4,001.74	Facility		$981.08	$1,188.81	$4,001.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,922.05 / $2,967.94 / $3,496.06	Professional		$1,922.05	$2,967.94	$3,496.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27,770.10 / $27,770.10 / $27,770.10	Facility		$27,770.10	$27,770.10	$27,770.10
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,632.21 / $2,632.21 / $2,632.21	Facility	AS	$2,632.21	$2,632.21	$2,632.21
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $17,327.00	Facility		$8,627.00	$12,373.00	$17,327.00