Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.61 / $1,005.68 / $14,482.00	Facility		$501.61	$1,005.68	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,282.29 / $1,498.46 / $2,416.96	Facility		$1,282.29	$1,498.46	$2,416.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $491.67 / $666.89 / $989.10	Facility		$491.67	$666.89	$989.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.61 / $1,957.00 / $4,793.00	Facility		$501.61	$1,957.00	$4,793.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $501.61 / $679.15 / $989.10	Facility		$501.61	$679.15	$989.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $965.90 / $1,491.50 / $1,957.21	Professional		$965.90	$1,491.50	$1,957.21
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 $2,257.00 / $3,088.30 / $4,295.00	Facility		$2,257.00	$3,088.30	$4,295.00