Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.64 / $747.54 / $1,894.00	Facility		$293.64	$747.54	$1,894.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $9,096.00 / $15,579.70	Facility		$1,183.00	$9,096.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $939.87 / $1,098.31 / $1,771.54	Facility		$939.87	$1,098.31	$1,771.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $290.55 / $405.09 / $734.91	Facility		$290.55	$405.09	$734.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $293.64 / $577.71 / $5,801.00	Facility		$293.64	$577.71	$5,801.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $282.60 / $405.09 / $734.91	Facility		$282.60	$405.09	$734.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $643.41 / $920.52 / $1,291.07	Professional		$643.41	$920.52	$1,291.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,705.44 / $2,705.44 / $2,705.44	Facility		$2,705.44	$2,705.44	$2,705.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00