Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.19 / $1,475.19 / $14,482.00	Facility		$698.19	$1,475.19	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,939.00 / $5,193.58	Facility		$1,314.00	$2,939.00	$5,193.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,846.39 / $2,157.66 / $3,309.90	Facility		$1,846.39	$2,157.66	$3,309.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $698.19 / $983.46 / $1,639.10	Facility		$698.19	$983.46	$1,639.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $698.19 / $1,442.74 / $5,261.00	Facility		$698.19	$1,442.74	$5,261.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $698.19 / $983.46 / $1,639.10	Facility		$698.19	$983.46	$1,639.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,444.95 / $1,760.62 / $2,628.25	Professional		$1,444.95	$1,760.62	$2,628.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,248.60 / $4,248.60 / $4,248.60	Facility		$4,248.60	$4,248.60	$4,248.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00