Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $694.46 / $1,468.60 / $14,482.00	Facility		$694.46	$1,468.60	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,424.00 / $7,210.00	Facility		$2,740.00	$4,424.00	$7,210.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,850.90 / $2,162.92 / $3,317.98	Facility		$1,850.90	$2,162.92	$3,317.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $694.46 / $1,005.78 / $1,631.78	Facility		$694.46	$1,005.78	$1,631.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $694.46 / $1,443.19 / $14,246.00	Facility		$694.46	$1,443.19	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $694.46 / $1,005.78 / $1,631.78	Facility		$694.46	$1,005.78	$1,631.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,469.00 / $1,789.92 / $2,672.00	Professional		$1,469.00	$1,789.92	$2,672.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,033.84 / $12,033.84 / $12,033.84	Facility		$12,033.84	$12,033.84	$12,033.84
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $342.12 / $342.12 / $342.12	Facility	AS	$342.12	$342.12	$342.12
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $13,721.00 / $17,327.00	Facility		$7,984.00	$13,721.00	$17,327.00