Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.37 / $1,523.79 / $14,482.00	Facility		$750.37	$1,523.79	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,838.00 / $18,458.00	Facility		$7,084.00	$11,838.00	$18,458.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,912.18 / $2,234.53 / $3,604.22	Facility		$1,912.18	$2,234.53	$3,604.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $744.96 / $989.46 / $1,487.18	Facility		$744.96	$989.46	$1,487.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $750.37 / $6,154.00 / $16,779.00	Facility		$750.37	$6,154.00	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $744.96 / $989.46 / $1,487.18	Facility		$744.96	$989.46	$1,487.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,454.05 / $2,245.28 / $3,026.13	Professional		$1,454.05	$2,245.28	$3,026.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,486.75 / $13,486.75 / $13,486.75	Facility		$13,486.75	$13,486.75	$13,486.75
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,279.44 / $1,279.44 / $1,279.44	Facility	AS	$1,279.44	$1,279.44	$1,279.44
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00