Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,306.08 / $2,519.08 / $14,482.00	Facility		$1,306.08	$2,519.08	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $43,785.72	Facility		$13,123.00	$18,187.00	$43,785.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.29 / $2,062.89 / $3,327.36	Facility		$1,765.29	$2,062.89	$3,327.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $691.02 / $956.36 / $1,366.86	Facility		$691.02	$956.36	$1,366.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.02 / $2,803.00 / $7,868.00	Facility		$691.02	$2,803.00	$7,868.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $691.02 / $956.36 / $1,366.86	Facility		$691.02	$956.36	$1,366.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,638.34 / $2,053.33 / $2,583.42	Professional		$1,638.34	$2,053.33	$2,583.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,164.54 / $9,164.54 / $9,164.54	Facility		$9,164.54	$9,164.54	$9,164.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00