Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $959.46 / $2,152.13 / $14,482.00	Facility		$959.46	$2,152.13	$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 $2,706.96 / $3,163.30 / $4,852.59	Facility		$2,706.96	$3,163.30	$4,852.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $959.46 / $1,434.79 / $2,241.26	Facility		$959.46	$1,434.79	$2,241.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $959.46 / $1,716.00 / $5,887.00	Facility		$959.46	$1,716.00	$5,887.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $959.46 / $1,434.75 / $2,241.26	Facility		$959.46	$1,434.75	$2,241.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,157.35 / $2,628.65 / $3,924.05	Professional		$2,157.35	$2,628.65	$3,924.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,366.28 / $11,366.28 / $11,366.28	Facility		$11,366.28	$11,366.28	$11,366.28
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $502.44 / $502.44 / $502.44	Facility	AS	$502.44	$502.44	$502.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00