Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,282.65 / $2,874.10 / $14,482.00	Facility		$1,282.65	$2,874.10	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,606.28 / $4,214.22 / $6,464.73	Facility		$3,606.28	$4,214.22	$6,464.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,282.65 / $1,923.98 / $3,088.67	Facility		$1,282.65	$1,923.98	$3,088.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,282.65 / $2,500.76 / $15,090.00	Facility		$1,282.65	$2,500.76	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,282.65 / $1,916.07 / $3,088.67	Facility		$1,282.65	$1,916.07	$3,088.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,954.25 / $3,599.64 / $5,373.55	Professional		$2,954.25	$3,599.64	$5,373.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24,033.80 / $24,033.80 / $24,033.80	Facility		$24,033.80	$24,033.80	$24,033.80
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,625.25 / $1,625.25 / $1,625.25	Facility	AS	$1,625.25	$1,625.25	$1,625.25
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00