Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $967.61 / $967.61 / $3,863.15	Facility		$967.61	$967.61	$3,863.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $11,302.00	Facility		$2,740.00	$4,780.00	$11,302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,720.48 / $3,179.10 / $4,876.82	Facility		$2,720.48	$3,179.10	$4,876.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $967.61 / $1,354.65 / $2,333.86	Facility		$967.61	$1,354.65	$2,333.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $967.61 / $1,741.70 / $14,270.00	Facility		$967.61	$1,741.70	$14,270.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $967.61 / $1,354.65 / $2,333.86	Facility		$967.61	$1,354.65	$2,333.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,248.92 / $2,741.90 / $4,093.12	Professional		$2,248.92	$2,741.90	$4,093.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,438.08 / $10,438.08 / $10,438.08	Facility		$10,438.08	$10,438.08	$10,438.08
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00