Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $552.36 / $1,056.13 / $14,482.00	Facility		$552.36	$1,056.13	$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 $1,330.95 / $1,555.33 / $2,508.67	Facility		$1,330.95	$1,555.33	$2,508.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $552.36 / $737.64 / $2,706.86	Facility		$552.36	$737.64	$2,706.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $552.36 / $2,706.86 / $11,598.00	Facility		$552.36	$2,706.86	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $552.36 / $829.80 / $2,706.86	Facility		$552.36	$829.80	$2,706.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,004.90 / $1,551.72 / $1,827.84	Professional		$1,004.90	$1,551.72	$1,827.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,558.29 / $9,558.29 / $9,558.29	Facility		$9,558.29	$9,558.29	$9,558.29
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $10,264.00 / $12,705.00	Facility		$4,240.00	$10,264.00	$12,705.00