Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.40 / $686.93 / $14,482.00	Facility		$426.40	$686.93	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $858.77 / $1,003.54 / $1,618.67	Facility		$858.77	$1,003.54	$1,618.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $335.83 / $533.88 / $663.88	Facility		$335.83	$533.88	$663.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $385.71 / $2,803.00 / $7,868.00	Facility		$385.71	$2,803.00	$7,868.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $335.83 / $533.88 / $663.88	Facility		$335.83	$533.88	$663.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $686.40 / $1,059.91 / $1,395.74	Professional		$686.40	$1,059.91	$1,395.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,459.84 / $4,459.84 / $4,459.84	Facility		$4,459.84	$4,459.84	$4,459.84
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $159.86 / $159.86 / $159.86	Facility	AS	$159.86	$159.86	$159.86
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