Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,722.84 / $3,849.39 / $14,482.00	Facility		$1,722.84	$3,849.39	$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 $4,812.88 / $5,624.23 / $9,071.69	Facility		$4,812.88	$5,624.23	$9,071.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,722.84 / $2,548.90 / $3,752.31	Facility		$1,722.84	$2,548.90	$3,752.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,769.36 / $2,873.10 / $7,700.00	Facility		$1,769.36	$2,873.10	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,722.84 / $2,548.90 / $3,752.31	Facility		$1,722.84	$2,548.90	$3,752.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,011.15 / $6,171.00 / $8,135.79	Professional		$4,011.15	$6,171.00	$8,135.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27,825.60 / $27,825.60 / $27,825.60	Facility		$27,825.60	$27,825.60	$27,825.60
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $934.18 / $934.18 / $934.18	Facility	AS	$934.18	$934.18	$934.18
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