Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,534.13 / $3,427.54 / $14,482.00	Facility		$1,534.13	$3,427.54	$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 $4,302.85 / $5,028.22 / $7,713.42	Facility		$4,302.85	$5,028.22	$7,713.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,534.13 / $2,297.67 / $3,645.65	Facility		$1,534.13	$2,297.67	$3,645.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,534.13 / $2,761.43 / $14,246.00	Facility		$1,534.13	$2,761.43	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,534.13 / $2,285.85 / $3,645.65	Facility		$1,534.13	$2,285.85	$3,645.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,488.55 / $4,250.66 / $6,345.40	Professional		$3,488.55	$4,250.66	$6,345.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22,418.66 / $22,418.66 / $22,418.66	Facility		$22,418.66	$22,418.66	$22,418.66
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $812.47 / $812.47 / $812.47	Facility	AS	$812.47	$812.47	$812.47
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