Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.32 / $1,334.74 / $20,882.80	Facility		$633.32	$1,334.74	$20,882.80
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 $10,001.70 / $10,001.70 / $10,001.70	Facility		$10,001.70	$10,001.70	$10,001.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,695.91 / $1,981.80 / $3,040.14	Facility		$1,695.91	$1,981.80	$3,040.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $633.32 / $925.89 / $1,483.05	Facility		$633.32	$925.89	$1,483.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $633.32 / $1,316.25 / $15,090.00	Facility		$633.32	$1,316.25	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $633.32 / $925.89 / $1,483.05	Facility		$633.32	$925.89	$1,483.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,289.59 / $1,571.33 / $2,345.67	Professional		$1,289.59	$1,571.33	$2,345.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,515.54 / $9,515.54 / $26,267.10	Facility		$9,515.54	$9,515.54	$26,267.10
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,489.75 / $2,489.75 / $2,489.75	Facility	AS	$2,489.75	$2,489.75	$2,489.75
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