Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.02 / $6,461.00 / $14,482.00	Facility		$357.02	$6,461.00	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,462.54 / $3,462.54 / $3,462.54	Facility		$3,462.54	$3,462.54	$3,462.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $969.61 / $1,133.06 / $1,738.14	Facility		$969.61	$1,133.06	$1,738.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $357.02 / $475.20 / $844.75	Facility		$357.02	$475.20	$844.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $357.02 / $696.01 / $8,296.28	Facility		$357.02	$696.01	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $357.02 / $475.20 / $844.75	Facility		$357.02	$475.20	$844.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $729.95 / $889.42 / $1,327.72	Professional		$729.95	$889.42	$1,327.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,244.77 / $3,244.77 / $8,957.00	Facility		$3,244.77	$3,244.77	$8,957.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00