Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,629.10 / $6,313.91 / $14,482.00	Facility		$2,629.10	$6,313.91	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,408.00 / $12,444.00	Facility		$5,169.00	$8,408.00	$12,444.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,589.39 / $5,363.08 / $8,650.45	Facility		$4,589.39	$5,363.08	$8,650.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,574.71 / $2,238.30 / $3,176.31	Facility		$1,574.71	$2,238.30	$3,176.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,701.17 / $6,073.00 / $11,598.00	Facility		$1,701.17	$6,073.00	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,574.71 / $2,238.30 / $3,510.13	Facility		$1,574.71	$2,238.30	$3,510.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,071.40 / $4,054.25 / $6,052.19	Professional		$3,071.40	$4,054.25	$6,052.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,174.12 / $12,174.12 / $12,174.12	Facility		$12,174.12	$12,174.12	$12,174.12
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00