Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $489.78 / $14,454.40	Facility		$302.00	$489.78	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $724.44 / $1,148.15	Facility		$616.60	$724.44	$1,148.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $7,244.36 / $13,489.63	Facility		$302.00	$7,244.36	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $13,489.63 / $26,302.68	Facility		$281.84	$13,489.63	$26,302.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $1,023.29	Professional		$407.38	$588.84	$1,023.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,584.89 / $1,584.89	Facility		$616.60	$1,584.89	$1,584.89
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $61.66 / $61.66 / $158.49	Facility	AS	$61.66	$61.66	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $20,892.96 / $26,915.35	Facility		$10,964.78	$20,892.96	$26,915.35