Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $956.35 / $1,980.88 / $14,482.00	Facility		$956.35	$1,980.88	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,560.77 / $7,560.77 / $7,560.77	Facility		$7,560.77	$7,560.77	$7,560.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,531.25 / $2,957.96 / $4,537.59	Facility		$2,531.25	$2,957.96	$4,537.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $956.35 / $1,434.53 / $2,200.98	Facility		$956.35	$1,434.53	$2,200.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $956.35 / $1,980.88 / $15,090.00	Facility		$956.35	$1,980.88	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $956.35 / $1,434.53 / $2,200.98	Facility		$956.35	$1,434.53	$2,200.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,922.70 / $2,342.73 / $3,497.24	Professional		$1,922.70	$2,342.73	$3,497.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,229.24 / $9,229.24 / $25,476.75	Facility		$9,229.24	$9,229.24	$25,476.75
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00