Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.04 / $606.08 / $14,482.00	Facility		$296.04	$606.08	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $766.85 / $896.13 / $1,445.42	Facility		$766.85	$896.13	$1,445.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $296.04 / $393.91 / $910.60	Facility		$296.04	$393.91	$910.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $296.31 / $4,103.00 / $8,384.00	Facility		$296.31	$4,103.00	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $296.04 / $398.33 / $910.60	Facility		$296.04	$398.33	$910.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $575.90 / $889.28 / $1,174.14	Professional		$575.90	$889.28	$1,174.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,444.45 / $5,444.45 / $5,444.45	Facility		$5,444.45	$5,444.45	$5,444.45
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00