Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.91 / $219.46 / $1,894.00	Facility		$75.91	$219.46	$1,894.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.37 / $720.27 / $1,104.92	Facility		$616.37	$720.27	$1,104.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $196.33 / $356.19	Facility		$77.70	$196.33	$356.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.58 / $233.18 / $3,034.00	Facility		$79.58	$233.18	$3,034.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $196.33 / $356.19	Facility		$77.70	$196.33	$356.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $184.57 / $379.44 / $720.48	Professional		$184.57	$379.44	$720.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $366.35 / $366.35 / $763.85	Facility		$366.35	$366.35	$763.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,957.00 / $3,068.00 / $4,295.00	Facility		$1,957.00	$3,068.00	$4,295.00