Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $889.54 / $9,926.79 / $15,278.10	Facility		$889.54	$9,926.79	$15,278.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,438.42 / $2,849.50 / $4,596.14	Facility		$2,438.42	$2,849.50	$4,596.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $889.54 / $1,102.31 / $4,468.10	Facility		$889.54	$1,102.31	$4,468.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $890.17 / $5,266.00 / $15,702.00	Facility		$890.17	$5,266.00	$15,702.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $889.54 / $1,224.38 / $4,468.10	Facility		$889.54	$1,224.38	$4,468.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,906.45 / $2,933.00 / $3,467.69	Professional		$1,906.45	$2,933.00	$3,467.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,547.20 / $16,547.20 / $16,547.20	Facility		$16,547.20	$16,547.20	$16,547.20
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,568.44 / $1,568.44 / $1,568.44	Facility	AS	$1,568.44	$1,568.44	$1,568.44
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00