Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,188.24 / $2,591.01 / $14,482.00	Facility		$1,188.24	$2,591.01	$14,482.00
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 $3,256.65 / $3,805.65 / $6,138.38	Facility		$3,256.65	$3,805.65	$6,138.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,188.24 / $1,381.87 / $2,475.85	Facility		$1,188.24	$1,381.87	$2,475.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,190.61 / $5,266.00 / $15,126.00	Facility		$1,190.61	$5,266.00	$15,126.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,188.24 / $1,381.87 / $2,475.85	Facility		$1,188.24	$1,381.87	$2,475.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,560.35 / $3,939.00 / $4,657.08	Professional		$2,560.35	$3,939.00	$4,657.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,960.05 / $13,960.05 / $13,960.05	Facility		$13,960.05	$13,960.05	$13,960.05
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,324.34 / $1,324.34 / $1,324.34	Facility	AS	$1,324.34	$1,324.34	$1,324.34
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00