Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.06 / $490.68 / $14,482.00	Facility		$221.06	$490.68	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,338.00 / $6,049.00	Facility		$2,740.00	$4,338.00	$6,049.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.86 / $715.01 / $1,096.83	Facility		$611.86	$715.01	$1,096.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $221.06 / $331.59 / $545.20	Facility		$221.06	$331.59	$545.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $228.99 / $438.62 / $5,887.00	Facility		$228.99	$438.62	$5,887.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $221.06 / $331.59 / $545.20	Facility		$221.06	$331.59	$545.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $504.09 / $614.59 / $917.46	Professional		$504.09	$614.59	$917.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,123.70 / $4,123.70 / $4,123.70	Facility		$4,123.70	$4,123.70	$4,123.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,810.00 / $19,003.00	Facility		$2,203.00	$4,810.00	$19,003.00