Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.72 / $891.38 / $14,482.00	Facility		$243.72	$891.38	$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 $1,167.84 / $1,364.73 / $2,093.53	Facility		$1,167.84	$1,364.73	$2,093.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $233.11 / $441.22 / $802.71	Facility		$233.11	$441.22	$802.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $236.17 / $457.08 / $2,912.91	Facility		$236.17	$457.08	$2,912.91
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $235.73 / $441.22 / $802.71	Facility		$235.73	$441.22	$802.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $499.35 / $918.30 / $1,472.87	Professional		$499.35	$918.30	$1,472.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $378.82 / $1,296.70 / $3,590.15	Facility		$378.82	$1,296.70	$3,590.15
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