Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $894.06 / $1,998.47 / $14,482.00	Facility		$894.06	$1,998.47	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,955.00 / $13,152.00	Facility		$5,060.00	$7,955.00	$13,152.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,514.12 / $2,937.95 / $4,738.82	Facility		$2,514.12	$2,937.95	$4,738.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $894.06 / $1,321.05 / $2,167.07	Facility		$894.06	$1,321.05	$2,167.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.03 / $2,429.00 / $7,700.00	Facility		$977.03	$2,429.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $894.06 / $1,328.85 / $2,167.07	Facility		$894.06	$1,328.85	$2,167.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,035.15 / $3,131.00 / $4,216.51	Professional		$2,035.15	$3,131.00	$4,216.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,885.50 / $11,885.50 / $11,885.50	Facility		$11,885.50	$11,885.50	$11,885.50
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