Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $939.55 / $2,051.21 / $14,482.00	Facility		$939.55	$2,051.21	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $9,096.00 / $15,579.70	Facility		$1,183.00	$9,096.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,635.78 / $3,080.11 / $4,968.10	Facility		$2,635.78	$3,080.11	$4,968.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $939.55 / $1,385.71 / $1,960.05	Facility		$939.55	$1,385.71	$1,960.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,002.82 / $4,103.00 / $8,783.00	Facility		$1,002.82	$4,103.00	$8,783.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $939.55 / $1,385.71 / $1,960.05	Facility		$939.55	$1,385.71	$1,960.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,960.40 / $3,027.16 / $3,565.82	Professional		$1,960.40	$3,027.16	$3,565.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,547.20 / $16,547.20 / $16,547.20	Facility		$16,547.20	$16,547.20	$16,547.20
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