Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.49 / $844.31 / $14,482.00	Facility		$255.49	$844.31	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $3,168.00 / $5,962.00	Facility		$1,139.00	$3,168.00	$5,962.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $598.34 / $699.21 / $1,072.60	Facility		$598.34	$699.21	$1,072.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $220.02 / $269.50 / $462.19	Facility		$220.02	$269.50	$462.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $220.02 / $322.67 / $4,821.00	Facility		$220.02	$322.67	$4,821.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $220.02 / $280.48 / $465.96	Facility		$220.02	$280.48	$465.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $416.40 / $555.34 / $962.31	Professional		$416.40	$555.34	$962.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.76 / $4,901.45 / $4,901.45	Facility		$263.76	$4,901.45	$4,901.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,827.00 / $5,471.00	Facility		$2,976.00	$3,827.00	$5,471.00