Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.91 / $638.91 / $14,482.00	Facility		$638.91	$638.91	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,006.00 / $18,294.00	Facility		$5,060.00	$8,006.00	$18,294.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,860.81 / $2,174.51 / $3,335.75	Facility		$1,860.81	$2,174.51	$3,335.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $638.91 / $786.25 / $1,449.10	Facility		$638.91	$786.25	$1,449.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $651.29 / $958.37 / $14,270.00	Facility		$651.29	$958.37	$14,270.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $638.91 / $786.25 / $1,449.10	Facility		$638.91	$786.25	$1,449.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,435.85 / $1,742.46 / $2,508.54	Professional		$1,435.85	$1,742.46	$2,508.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,925.20 / $3,925.20 / $3,925.20	Facility		$3,925.20	$3,925.20	$3,925.20
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00