Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.60 / $533.75 / $14,482.00	Facility		$255.60	$533.75	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,821.00 / $7,344.00 / $10,382.04	Facility		$4,821.00	$7,344.00	$10,382.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $665.93 / $778.19 / $1,193.76	Facility		$665.93	$778.19	$1,193.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $255.60 / $383.40 / $604.76	Facility		$255.60	$383.40	$604.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $259.29 / $533.75 / $1,756.00	Facility		$259.29	$533.75	$1,756.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $255.60 / $379.55 / $604.76	Facility		$255.60	$379.55	$604.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $551.51 / $672.41 / $1,003.77	Professional		$551.51	$672.41	$1,003.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $128.52 / $128.52 / $128.52	Facility	AS	$128.52	$128.52	$128.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,370.00 / $2,202.90	Facility		$1,008.00	$1,370.00	$2,202.90