Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.64 / $3,643.02 / $14,482.00	Facility		$1,621.64	$3,643.02	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,241.00 / $22,519.00	Facility		$11,499.00	$16,241.00	$22,519.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,551.56 / $5,318.85 / $8,159.26	Facility		$4,551.56	$5,318.85	$8,159.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,621.64 / $2,416.88 / $3,955.24	Facility		$1,621.64	$2,416.88	$3,955.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,621.64 / $2,918.95 / $16,976.00	Facility		$1,621.64	$2,918.95	$16,976.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,621.64 / $2,416.23 / $3,955.24	Facility		$1,621.64	$2,416.23	$3,955.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,745.95 / $4,564.30 / $6,813.59	Professional		$3,745.95	$4,564.30	$6,813.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,499.04 / $19,499.04 / $19,499.04	Facility		$19,499.04	$19,499.04	$19,499.04
United Facility/Professional Facility Modifier Low / Median / High Price $7,775.00 / $14,249.00 / $19,562.00	Facility		$7,775.00	$14,249.00	$19,562.00