Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.17 / $467.33 / $14,482.00	Facility		$288.17	$467.33	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.22 / $679.20 / $1,095.53	Facility		$581.22	$679.20	$1,095.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $228.47 / $321.13 / $451.76	Facility		$228.47	$321.13	$451.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $258.22 / $2,803.00 / $7,868.00	Facility		$258.22	$2,803.00	$7,868.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $228.47 / $321.13 / $451.76	Facility		$228.47	$321.13	$451.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $457.60 / $706.60 / $944.02	Professional		$457.60	$706.60	$944.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,065.73 / $1,065.73 / $1,065.73	Facility		$1,065.73	$1,065.73	$1,065.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00