Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.21 / $433.92 / $14,482.00	Facility		$110.21	$433.92	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,550.00 / $4,441.52	Facility		$1,314.00	$2,550.00	$4,441.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $693.86 / $810.83 / $1,077.66	Facility		$693.86	$810.83	$1,077.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $112.32 / $245.80 / $437.95	Facility		$112.32	$245.80	$437.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.60 / $281.04 / $3,026.00	Facility		$123.60	$281.04	$3,026.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $113.19 / $247.76 / $491.92	Facility		$113.19	$247.76	$491.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $269.23 / $494.00 / $863.06	Professional		$269.23	$494.00	$863.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $305.14 / $534.36 / $534.36	Facility		$305.14	$534.36	$534.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,257.00 / $2,910.00 / $4,295.00	Facility		$2,257.00	$2,910.00	$4,295.00