Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,495.06 / $6,224.57 / $14,482.00	Facility		$1,495.06	$6,224.57	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,287.00 / $13,743.77 / $21,606.00	Facility		$9,287.00	$13,743.77	$21,606.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $708.66 / $893.21 / $7,560.77	Facility		$708.66	$893.21	$7,560.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,935.61 / $2,261.91 / $3,469.83	Facility		$1,935.61	$2,261.91	$3,469.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $724.96 / $1,072.21 / $1,698.83	Facility		$724.96	$1,072.21	$1,698.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $743.61 / $1,507.04 / $13,250.00	Facility		$743.61	$1,507.04	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $724.96 / $1,072.21 / $1,698.83	Facility		$724.96	$1,072.21	$1,698.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,481.35 / $1,804.97 / $2,694.46	Professional		$1,481.35	$1,804.97	$2,694.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,458.92 / $9,458.92 / $26,110.75	Facility		$9,458.92	$9,458.92	$26,110.75
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,474.92 / $2,474.92 / $2,474.92	Facility	AS	$2,474.92	$2,474.92	$2,474.92
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00