Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.70 / $800.57 / $1,894.00	Facility		$313.70	$800.57	$1,894.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $9,096.00 / $15,579.70	Facility		$5,479.00	$9,096.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,009.25 / $1,179.39 / $1,902.32	Facility		$1,009.25	$1,179.39	$1,902.32
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $313.70 / $426.97 / $764.99	Facility		$313.70	$426.97	$764.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $313.70 / $635.29 / $8,384.00	Facility		$313.70	$635.29	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $310.35 / $426.97 / $764.99	Facility		$310.35	$426.97	$764.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $687.17 / $983.41 / $1,382.11	Professional		$687.17	$983.41	$1,382.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,892.80 / $2,892.80 / $2,892.80	Facility		$2,892.80	$2,892.80	$2,892.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00