Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.05 / $1,315.96 / $14,482.00	Facility		$688.05	$1,315.96	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,152.00	Facility		$5,060.00	$7,979.00	$13,152.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,655.36 / $1,934.42 / $3,120.14	Facility		$1,655.36	$1,934.42	$3,120.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $643.36 / $880.87 / $1,287.05	Facility		$643.36	$880.87	$1,287.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $688.05 / $1,716.00 / $7,700.00	Facility		$688.05	$1,716.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $688.05 / $880.87 / $1,287.05	Facility		$688.05	$880.87	$1,287.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,253.20 / $1,935.13 / $2,279.46	Professional		$1,253.20	$1,935.13	$2,279.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,991.64 / $2,991.64 / $2,991.64	Facility		$2,991.64	$2,991.64	$2,991.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00