Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.20 / $1,113.09 / $14,482.00	Facility		$525.20	$1,113.09	$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 $1,404.85 / $1,641.67 / $2,518.37	Facility		$1,404.85	$1,641.67	$2,518.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $525.20 / $787.80 / $1,253.43	Facility		$525.20	$787.80	$1,253.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $525.20 / $1,094.03 / $14,246.00	Facility		$525.20	$1,094.03	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $525.20 / $787.80 / $1,253.43	Facility		$525.20	$787.80	$1,253.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,092.65 / $1,331.35 / $1,987.45	Professional		$1,092.65	$1,331.35	$1,987.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,090.16 / $7,090.16 / $7,090.16	Facility		$7,090.16	$7,090.16	$7,090.16
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $254.47 / $254.47 / $254.47	Facility	AS	$254.47	$254.47	$254.47
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