Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.48 / $1,379.00 / $14,482.00	Facility		$417.48	$1,379.00	$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 $975.91 / $1,140.43 / $1,749.45	Facility		$975.91	$1,140.43	$1,749.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $374.44 / $514.89 / $859.73	Facility		$374.44	$514.89	$859.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $368.28 / $576.47 / $4,792.00	Facility		$368.28	$576.47	$4,792.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $371.07 / $488.45 / $859.73	Facility		$371.07	$488.45	$859.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $679.80 / $906.63 / $1,571.96	Professional		$679.80	$906.63	$1,571.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $431.88 / $4,901.45 / $4,901.45	Facility		$431.88	$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