Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $908.01 / $1,909.93 / $14,482.00	Facility		$908.01	$1,909.93	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,955.00 / $13,152.00	Facility		$5,060.00	$7,955.00	$13,152.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,410.50 / $2,816.86 / $4,321.13	Facility		$2,410.50	$2,816.86	$4,321.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $908.01 / $1,273.29 / $2,006.70	Facility		$908.01	$1,273.29	$2,006.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $908.01 / $1,785.00 / $11,100.00	Facility		$908.01	$1,785.00	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $908.01 / $1,271.21 / $2,006.70	Facility		$908.01	$1,271.21	$2,006.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,860.95 / $2,267.50 / $3,384.92	Professional		$1,860.95	$2,267.50	$3,384.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,703.71 / $7,703.71 / $7,703.71	Facility		$7,703.71	$7,703.71	$7,703.71
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00