Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $786.62 / $1,503.65 / $14,482.00	Facility		$786.62	$1,503.65	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,888.75 / $2,207.15 / $3,560.06	Facility		$1,888.75	$2,207.15	$3,560.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $786.62 / $1,046.10 / $2,152.19	Facility		$786.62	$1,046.10	$2,152.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $786.62 / $2,152.19 / $11,598.00	Facility		$786.62	$2,152.19	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $786.62 / $1,046.10 / $2,152.19	Facility		$786.62	$1,046.10	$2,152.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,431.95 / $2,211.15 / $2,604.61	Professional		$1,431.95	$2,211.15	$2,604.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $9,388.90 / $9,388.90	Facility		$9,388.90	$9,388.90	$9,388.90
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00