Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,031.83 / $2,532.03 / $14,482.00	Facility		$1,031.83	$2,532.03	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,832.88 / $2,141.86 / $3,454.75	Facility		$1,832.88	$2,141.86	$3,454.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $659.90 / $1,010.29 / $1,410.21	Facility		$659.90	$1,010.29	$1,410.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $757.72 / $4,103.00 / $8,783.00	Facility		$757.72	$4,103.00	$8,783.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $659.90 / $1,010.29 / $2,197.08	Facility		$659.90	$1,010.29	$2,197.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,226.40 / $1,618.85 / $2,416.62	Professional		$1,226.40	$1,618.85	$2,416.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,879.05 / $11,879.05 / $11,879.05	Facility		$11,879.05	$11,879.05	$11,879.05
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00