Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $664.89 / $8,466.00 / $29,943.69	Facility		$664.89	$8,466.00	$29,943.69
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 $613.08 / $748.55 / $2,036.10	Facility		$613.08	$748.55	$2,036.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $611.55 / $4,017.00 / $12,622.22	Facility		$611.55	$4,017.00	$12,622.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $611.55 / $748.55 / $2,036.10	Facility		$611.55	$748.55	$2,036.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,206.40 / $1,836.49 / $2,194.35	Professional		$1,206.40	$1,836.49	$2,194.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,623.50 / $12,623.50 / $12,623.50	Facility		$12,623.50	$12,623.50	$12,623.50
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,196.53 / $1,196.53 / $1,196.53	Facility	AS	$1,196.53	$1,196.53	$1,196.53
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