Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,766.02 / $3,941.12 / $14,482.00	Facility		$1,766.02	$3,941.12	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,401.00 / $25,162.36	Facility		$11,499.00	$16,401.00	$25,162.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,947.14 / $5,781.13 / $9,324.77	Facility		$4,947.14	$5,781.13	$9,324.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,766.02 / $2,617.48 / $3,840.98	Facility		$1,766.02	$2,617.48	$3,840.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,812.04 / $3,364.00 / $7,700.00	Facility		$1,812.04	$3,364.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,766.02 / $2,617.48 / $3,840.98	Facility		$1,766.02	$2,617.48	$3,840.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,108.00 / $6,320.00 / $8,369.09	Professional		$4,108.00	$6,320.00	$8,369.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26,241.71 / $26,241.71 / $26,241.71	Facility		$26,241.71	$26,241.71	$26,241.71
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $956.73 / $956.73 / $956.73	Facility	AS	$956.73	$956.73	$956.73
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