Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.46 / $595.66 / $14,482.00	Facility		$368.46	$595.66	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $1,979.00 / $2,601.00	Facility		$1,905.00	$1,979.00	$2,601.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $738.92 / $863.48 / $1,392.77	Facility		$738.92	$863.48	$1,392.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $291.20 / $464.71 / $822.68	Facility		$291.20	$464.71	$822.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $317.69 / $1,100.00 / $2,043.20	Facility		$317.69	$1,100.00	$2,043.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $291.20 / $464.71 / $822.68	Facility		$291.20	$464.71	$822.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $603.85 / $932.44 / $1,210.04	Professional		$603.85	$932.44	$1,210.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,576.84 / $4,576.84 / $4,576.84	Facility		$4,576.84	$4,576.84	$4,576.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90