Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $981.80 / $2,195.57 / $14,482.00	Facility		$981.80	$2,195.57	$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 $2,761.93 / $3,227.54 / $4,951.12	Facility		$2,761.93	$3,227.54	$4,951.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $981.80 / $1,463.72 / $2,437.23	Facility		$981.80	$1,463.72	$2,437.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $981.80 / $1,716.00 / $5,887.00	Facility		$981.80	$1,716.00	$5,887.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $981.80 / $1,462.88 / $2,437.23	Facility		$981.80	$1,462.88	$2,437.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,217.15 / $2,701.51 / $4,032.83	Professional		$2,217.15	$2,701.51	$4,032.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,672.82 / $11,672.82 / $11,672.82	Facility		$11,672.82	$11,672.82	$11,672.82
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $516.36 / $516.36 / $516.36	Facility	AS	$516.36	$516.36	$516.36
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