Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.53 / $777.58 / $3,119.00	Facility		$366.53	$777.58	$3,119.00
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
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,507.48 / $1,507.48 / $1,507.48	Facility		$1,507.48	$1,507.48	$1,507.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,307.53 / $1,527.95 / $2,343.91	Facility		$1,307.53	$1,527.95	$2,343.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $366.53 / $540.26 / $1,010.07	Facility		$366.53	$540.26	$1,010.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $377.27 / $593.05 / $6,669.00	Facility		$377.27	$593.05	$6,669.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $367.63 / $538.01 / $1,010.07	Facility		$367.63	$538.01	$1,010.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $845.57 / $1,182.41 / $1,685.18	Professional		$845.57	$1,182.41	$1,685.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,455.33 / $1,455.33 / $2,681.52	Facility		$1,455.33	$1,455.33	$2,681.52
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