Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.03 / $8,466.00 / $17,823.00	Facility		$760.03	$8,466.00	$17,823.00
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 $2,032.93 / $2,375.64 / $3,644.29	Facility		$2,032.93	$2,375.64	$3,644.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $760.03 / $955.50 / $1,785.73	Facility		$760.03	$955.50	$1,785.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $760.03 / $1,566.00 / $15,090.00	Facility		$760.03	$1,566.00	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $760.03 / $955.50 / $1,785.73	Facility		$760.03	$955.50	$1,785.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,558.70 / $1,899.22 / $2,835.16	Professional		$1,558.70	$1,899.22	$2,835.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,351.84 / $9,351.84 / $25,815.20	Facility		$9,351.84	$9,351.84	$25,815.20
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,446.92 / $2,446.92 / $2,446.92	Facility	AS	$2,446.92	$2,446.92	$2,446.92
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00