Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.70 / $642.51 / $14,482.00	Facility		$280.70	$642.51	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,810.00 / $23,778.77	Facility		$10,878.00	$15,810.00	$23,778.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $816.41 / $954.05 / $1,463.53	Facility		$816.41	$954.05	$1,463.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $280.70 / $365.52 / $642.51	Facility		$280.70	$365.52	$642.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $280.70 / $440.20 / $19,562.00	Facility		$280.70	$440.20	$19,562.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $280.70 / $352.16 / $642.51	Facility		$280.70	$352.16	$642.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $619.45 / $754.78 / $1,126.73	Professional		$619.45	$754.78	$1,126.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20,389.30 / $20,389.30 / $77,786.45	Facility		$20,389.30	$20,389.30	$77,786.45
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $14,566.00 / $19,562.00	Facility		$8,650.00	$14,566.00	$19,562.00