Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.01 / $204.64 / $14,482.00	Facility		$96.01	$204.64	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,159.00 / $9,649.00 / $12,444.00	Facility		$6,159.00	$9,649.00	$12,444.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $254.12 / $296.95 / $455.54	Facility		$254.12	$296.95	$455.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $96.01 / $144.02 / $213.92	Facility		$96.01	$144.02	$213.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.14 / $198.96 / $1,756.00	Facility		$97.14	$198.96	$1,756.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $96.01 / $141.21 / $213.92	Facility		$96.01	$141.21	$213.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $199.43 / $243.14 / $362.97	Professional		$199.43	$243.14	$362.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,660.30 / $3,660.30 / $3,660.30	Facility		$3,660.30	$3,660.30	$3,660.30
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $46.47 / $46.47 / $46.47	Facility	AS	$46.47	$46.47	$46.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90