Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,005.38 / $2,193.67 / $14,482.00	Facility		$1,005.38	$2,193.67	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,800.00 / $18,360.00	Facility		$6,538.00	$10,800.00	$18,360.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,743.01 / $3,205.42 / $5,170.22	Facility		$2,743.01	$3,205.42	$5,170.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,005.38 / $1,172.98 / $2,132.98	Facility		$1,005.38	$1,172.98	$2,132.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,011.99 / $2,429.00 / $7,700.00	Facility		$1,011.99	$2,429.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,005.38 / $1,172.98 / $2,132.98	Facility		$1,005.38	$1,172.98	$2,132.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,185.94 / $3,363.00 / $3,976.07	Professional		$2,185.94	$3,363.00	$3,976.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,713.06 / $16,713.06 / $16,713.06	Facility		$16,713.06	$16,713.06	$16,713.06
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $509.10 / $509.10 / $509.10	Facility	AS	$509.10	$509.10	$509.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00