Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $675.54 / $1,512.65 / $14,482.00	Facility		$675.54	$1,512.65	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,692.00 / $15,055.00 / $22,609.00	Facility		$5,692.00	$15,055.00	$22,609.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,895.96 / $2,215.58 / $3,398.75	Facility		$1,895.96	$2,215.58	$3,398.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $675.54 / $985.26 / $1,573.48	Facility		$675.54	$985.26	$1,573.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $675.54 / $1,294.15 / $15,090.00	Facility		$675.54	$1,294.15	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $675.54 / $985.26 / $1,573.48	Facility		$675.54	$985.26	$1,573.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,538.55 / $1,874.66 / $2,798.50	Professional		$1,538.55	$1,874.66	$2,798.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23,382.34 / $23,382.34 / $64,545.55	Facility		$23,382.34	$23,382.34	$64,545.55
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $11,891.00 / $15,090.00	Facility		$8,627.00	$11,891.00	$15,090.00