Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.86 / $876.31 / $3,119.00	Facility		$409.86	$876.31	$3,119.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $6,787.00 / $10,517.23	Facility		$1,979.00	$6,787.00	$10,517.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,971.90 / $2,971.90 / $2,971.90	Facility		$2,971.90	$2,971.90	$2,971.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,666.17 / $1,947.05 / $2,986.83	Facility		$1,666.17	$1,947.05	$2,986.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $389.47 / $627.69 / $1,291.58	Facility		$389.47	$627.69	$1,291.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.47 / $719.67 / $4,377.80	Facility		$389.47	$719.67	$4,377.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $389.47 / $627.69 / $1,291.58	Facility		$389.47	$627.69	$1,291.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $999.01 / $1,454.47 / $2,143.85	Professional		$999.01	$1,454.47	$2,143.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,003.08 / $2,003.08 / $2,469.60	Facility		$2,003.08	$2,003.08	$2,469.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00