Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.82 / $935.82 / $14,482.00	Facility		$935.82	$935.82	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,721.38 / $3,180.15 / $4,878.43	Facility		$2,721.38	$3,180.15	$4,878.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $935.82 / $1,151.42 / $2,119.77	Facility		$935.82	$1,151.42	$2,119.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $952.11 / $1,431.80 / $11,598.00	Facility		$952.11	$1,431.80	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $935.82 / $1,151.42 / $2,119.77	Facility		$935.82	$1,151.42	$2,119.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,104.05 / $2,553.35 / $3,675.94	Professional		$2,104.05	$2,553.35	$3,675.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,749.75 / $5,749.75 / $5,749.75	Facility		$5,749.75	$5,749.75	$5,749.75
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $490.02 / $490.02 / $490.02	Facility	AS	$490.02	$490.02	$490.02
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00