Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.93 / $813.59 / $14,482.00	Facility		$245.93	$813.59	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,193.00 / $5,962.00	Facility		$1,905.00	$3,193.00	$5,962.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $574.91 / $671.83 / $1,030.60	Facility		$574.91	$671.83	$1,030.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $215.56 / $261.48 / $444.66	Facility		$215.56	$261.48	$444.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $215.56 / $312.61 / $4,821.00	Facility		$215.56	$312.61	$4,821.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $215.56 / $272.11 / $457.71	Facility		$215.56	$272.11	$457.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $407.40 / $543.34 / $927.20	Professional		$407.40	$543.34	$927.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $258.07 / $4,901.45 / $4,901.45	Facility		$258.07	$4,901.45	$4,901.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,883.00 / $3,242.00 / $6,438.00	Facility		$2,883.00	$3,242.00	$6,438.00