Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.98 / $9,245.00 / $18,334.70	Facility		$832.98	$9,245.00	$18,334.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,127.54 / $2,486.19 / $4,010.16	Facility		$2,127.54	$2,486.19	$4,010.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $826.98 / $974.59 / $1,616.37	Facility		$826.98	$974.59	$1,616.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $832.98 / $7,590.00 / $15,702.00	Facility		$832.98	$7,590.00	$15,702.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $826.98 / $974.59 / $1,616.37	Facility		$826.98	$974.59	$1,616.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,611.35 / $2,488.17 / $3,334.40	Professional		$1,611.35	$2,488.17	$3,334.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,302.50 / $14,302.50 / $14,302.50	Facility		$14,302.50	$14,302.50	$14,302.50
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00