Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.12 / $1,261.42 / $3,119.00	Facility		$588.12	$1,261.42	$3,119.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,631.93 / $1,907.04 / $3,075.98	Facility		$1,631.93	$1,907.04	$3,075.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $554.59 / $714.74 / $954.80	Facility		$554.59	$714.74	$954.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $567.83 / $905.01 / $8,384.00	Facility		$567.83	$905.01	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $532.34 / $714.74 / $954.80	Facility		$532.34	$714.74	$954.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,083.93 / $1,505.57 / $2,184.89	Professional		$1,083.93	$1,505.57	$2,184.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,012.26 / $4,012.26 / $4,012.26	Facility		$4,012.26	$4,012.26	$4,012.26
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00