Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.91 / $1,263.26 / $14,482.00	Facility		$620.91	$1,263.26	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,587.77 / $1,855.44 / $2,992.76	Facility		$1,587.77	$1,855.44	$2,992.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $841.37 / $2,165.09	Facility		$620.00	$841.37	$2,165.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $620.91 / $2,165.09 / $12,631.00	Facility		$620.91	$2,165.09	$12,631.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $841.37 / $2,165.09	Facility		$620.00	$841.37	$2,165.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,202.50 / $1,856.85 / $2,477.28	Professional		$1,202.50	$1,856.85	$2,477.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27,110.45 / $27,110.45 / $27,110.45	Facility		$27,110.45	$27,110.45	$27,110.45
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00