Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $965.48 / $2,010.80 / $14,482.00	Facility		$965.48	$2,010.80	$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
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,995.29 / $5,995.29 / $5,995.29	Facility		$5,995.29	$5,995.29	$5,995.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,553.77 / $2,984.29 / $4,577.97	Facility		$2,553.77	$2,984.29	$4,577.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $965.48 / $1,224.96 / $2,133.71	Facility		$965.48	$1,224.96	$2,133.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $965.48 / $1,921.43 / $8,384.00	Facility		$965.48	$1,921.43	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $965.48 / $1,217.61 / $2,133.71	Facility		$965.48	$1,217.61	$2,133.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,925.95 / $2,346.69 / $3,503.15	Professional		$1,925.95	$2,346.69	$3,503.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,658.73 / $7,658.73 / $21,141.45	Facility		$7,658.73	$7,658.73	$21,141.45
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