Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.65 / $1,578.14 / $14,482.00	Facility		$642.65	$1,578.14	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,140.82 / $1,333.14 / $2,150.30	Facility		$1,140.82	$1,333.14	$2,150.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $411.28 / $629.67 / $878.47	Facility		$411.28	$629.67	$878.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $472.26 / $2,781.00 / $6,150.00	Facility		$472.26	$2,781.00	$6,150.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $411.28 / $629.67 / $1,073.21	Facility		$411.28	$629.67	$1,073.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $765.00 / $1,009.80 / $1,433.36	Professional		$765.00	$1,009.80	$1,433.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,887.55 / $6,887.55 / $6,887.55	Facility		$6,887.55	$6,887.55	$6,887.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00