Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.05 / $538.04 / $14,482.00	Facility		$333.05	$538.04	$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 $668.63 / $781.35 / $1,260.29	Facility		$668.63	$781.35	$1,260.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $263.04 / $372.65 / $518.75	Facility		$263.04	$372.65	$518.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $303.95 / $2,803.00 / $7,868.00	Facility		$303.95	$2,803.00	$7,868.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $263.04 / $372.65 / $518.75	Facility		$263.04	$372.65	$518.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $541.45 / $836.08 / $1,089.89	Professional		$541.45	$836.08	$1,089.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,499.98 / $3,499.98 / $3,499.98	Facility		$3,499.98	$3,499.98	$3,499.98
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