Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.30 / $1,327.48 / $14,482.00	Facility		$633.30	$1,327.48	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,006.00 / $18,294.00	Facility		$5,060.00	$8,006.00	$18,294.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,661.67 / $1,941.79 / $2,978.75	Facility		$1,661.67	$1,941.79	$2,978.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $633.30 / $888.72 / $1,610.89	Facility		$633.30	$888.72	$1,610.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $633.30 / $1,292.10 / $14,246.00	Facility		$633.30	$1,292.10	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $633.30 / $888.72 / $1,610.89	Facility		$633.30	$888.72	$1,610.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,319.50 / $1,607.76 / $2,400.07	Professional		$1,319.50	$1,607.76	$2,400.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,546.89 / $8,546.89 / $8,546.89	Facility		$8,546.89	$8,546.89	$8,546.89
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $307.30 / $307.30 / $307.30	Facility	AS	$307.30	$307.30	$307.30
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00