Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $978.87 / $2,408.81 / $14,482.00	Facility		$978.87	$2,408.81	$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 $1,731.95 / $2,023.92 / $3,264.52	Facility		$1,731.95	$2,023.92	$3,264.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $608.04 / $900.47 / $1,338.22	Facility		$608.04	$900.47	$1,338.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $681.92 / $4,103.00 / $8,384.00	Facility		$681.92	$4,103.00	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $608.04 / $900.47 / $1,501.50	Facility		$608.04	$900.47	$1,501.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,167.00 / $1,540.44 / $2,186.57	Professional		$1,167.00	$1,540.44	$2,186.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,819.45 / $5,819.45 / $5,819.45	Facility		$5,819.45	$5,819.45	$5,819.45
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