Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $847.04 / $1,925.82 / $14,482.00	Facility		$847.04	$1,925.82	$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 $2,427.62 / $2,836.86 / $4,575.76	Facility		$2,427.62	$2,836.86	$4,575.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $847.04 / $1,251.54 / $1,962.50	Facility		$847.04	$1,251.54	$1,962.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $941.51 / $2,429.00 / $7,700.00	Facility		$941.51	$2,429.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $847.04 / $1,275.69 / $1,962.50	Facility		$847.04	$1,275.69	$1,962.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,984.45 / $3,053.00 / $3,994.74	Professional		$1,984.45	$3,053.00	$3,994.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,724.69 / $12,724.69 / $12,724.69	Facility		$12,724.69	$12,724.69	$12,724.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $4,316.80 / $19,003.00	Facility		$1,998.00	$4,316.80	$19,003.00