Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.45 / $423.74 / $1,894.00	Facility		$73.45	$423.74	$1,894.00
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 $874.09 / $1,021.44 / $1,647.55	Facility		$874.09	$1,021.44	$1,647.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $58.19 / $117.59 / $552.85	Facility		$58.19	$117.59	$552.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.19 / $506.62 / $4,195.00	Facility		$64.19	$506.62	$4,195.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $58.19 / $117.59 / $552.85	Facility		$58.19	$117.59	$552.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $133.97 / $335.96 / $1,050.00	Professional		$133.97	$335.96	$1,050.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $334.90 / $334.90 / $334.90	Facility		$334.90	$334.90	$334.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00