Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.01 / $1,140.11 / $14,482.00	Facility		$613.01	$1,140.11	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $8,456.00	Facility		$2,740.00	$4,780.00	$8,456.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,471.53 / $1,719.60 / $2,773.65	Facility		$1,471.53	$1,719.60	$2,773.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $566.38 / $689.46 / $2,186.92	Facility		$566.38	$689.46	$2,186.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $608.05 / $2,186.92 / $8,384.00	Facility		$608.05	$2,186.92	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $566.38 / $689.46 / $2,186.92	Facility		$566.38	$689.46	$2,186.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,101.75 / $1,687.87 / $2,004.00	Professional		$1,101.75	$1,687.87	$2,004.00
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