Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.15 / $637.49 / $14,482.00	Facility		$340.15	$637.49	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $814.61 / $951.94 / $1,535.44	Facility		$814.61	$951.94	$1,535.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $314.37 / $382.45 / $951.57	Facility		$314.37	$382.45	$951.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $340.00 / $951.57 / $8,384.00	Facility		$340.00	$951.57	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $314.37 / $382.45 / $951.57	Facility		$314.37	$382.45	$951.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $615.54 / $922.92 / $1,119.64	Professional		$615.54	$922.92	$1,119.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,496.40 / $9,496.40 / $9,496.40	Facility		$9,496.40	$9,496.40	$9,496.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00