Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.82 / $1,819.10 / $8,243.00	Facility		$392.82	$1,819.10	$8,243.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,462.54 / $3,462.54 / $3,462.54	Facility		$3,462.54	$3,462.54	$3,462.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,839.92 / $5,655.82 / $8,676.18	Facility		$4,839.92	$5,655.82	$8,676.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $398.34 / $1,571.28 / $3,629.46	Facility		$398.34	$1,571.28	$3,629.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $406.48 / $1,912.28 / $9,837.00	Facility		$406.48	$1,912.28	$9,837.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $398.34 / $1,571.28 / $3,629.46	Facility		$398.34	$1,571.28	$3,629.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $928.21 / $1,864.33 / $5,826.73	Professional		$928.21	$1,864.33	$5,826.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,187.68 / $3,187.68 / $3,244.77	Facility		$3,187.68	$3,187.68	$3,244.77
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00