Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.09 / $680.02 / $14,482.00	Facility		$368.09	$680.02	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,139.00 / $10,914.00	Facility		$5,169.00	$8,139.00	$10,914.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $862.37 / $1,007.75 / $1,545.91	Facility		$862.37	$1,007.75	$1,545.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $319.14 / $459.00 / $678.75	Facility		$319.14	$459.00	$678.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $317.70 / $518.95 / $9,023.60	Facility		$317.70	$518.95	$9,023.60
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $319.14 / $456.59 / $674.09	Facility		$319.14	$456.59	$674.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $592.20 / $789.80 / $1,374.56	Professional		$592.20	$789.80	$1,374.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $367.15 / $8,223.00 / $8,223.00	Facility		$367.15	$8,223.00	$8,223.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,953.00 / $12,062.00	Facility		$6,241.00	$9,953.00	$12,062.00