Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,788.13 / $4,387.82 / $14,482.00	Facility		$1,788.13	$4,387.82	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,171.94 / $3,706.67 / $5,978.72	Facility		$3,171.94	$3,706.67	$5,978.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,144.11 / $1,696.04 / $2,442.01	Facility		$1,144.11	$1,696.04	$2,442.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,313.06 / $4,470.33 / $8,384.00	Facility		$1,313.06	$4,470.33	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,144.11 / $1,696.04 / $2,457.00	Facility		$1,144.11	$1,696.04	$2,457.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,126.40 / $2,806.85 / $3,984.16	Professional		$2,126.40	$2,806.85	$3,984.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,380.86 / $8,380.86 / $8,380.86	Facility		$8,380.86	$8,380.86	$8,380.86
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00