Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,555.36 / $3,464.53 / $14,482.00	Facility		$1,555.36	$3,464.53	$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 $4,351.51 / $5,085.08 / $7,800.65	Facility		$4,351.51	$5,085.08	$7,800.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,555.36 / $2,333.04 / $3,772.95	Facility		$1,555.36	$2,333.04	$3,772.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,555.36 / $2,545.01 / $6,221.44	Facility		$1,555.36	$2,545.01	$6,221.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,555.36 / $2,317.48 / $3,772.95	Facility		$1,555.36	$2,317.48	$3,772.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,575.65 / $4,356.79 / $6,503.83	Professional		$3,575.65	$4,356.79	$6,503.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22,889.35 / $22,889.35 / $22,889.35	Facility		$22,889.35	$22,889.35	$22,889.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,810.00 / $19,003.00	Facility		$2,203.00	$4,810.00	$19,003.00