Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,617.35 / $3,967.21 / $14,482.00	Facility		$1,617.35	$3,967.21	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,863.76 / $3,346.53 / $5,397.83	Facility		$2,863.76	$3,346.53	$5,397.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,036.90 / $1,533.46 / $2,097.44	Facility		$1,036.90	$1,533.46	$2,097.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,187.20 / $7,590.00 / $15,702.00	Facility		$1,187.20	$7,590.00	$15,702.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,036.90 / $1,533.46 / $2,097.44	Facility		$1,036.90	$1,533.46	$2,097.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,923.00 / $2,538.36 / $3,603.06	Professional		$1,923.00	$2,538.36	$3,603.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,796.25 / $18,796.25 / $18,796.25	Facility		$18,796.25	$18,796.25	$18,796.25
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00