Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $753.62 / $13,651.02 / $19,617.58	Facility		$753.62	$13,651.02	$19,617.58
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 $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 $2,008.60 / $2,347.19 / $3,600.67	Facility		$2,008.60	$2,347.19	$3,600.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $753.62 / $1,130.43 / $1,765.85	Facility		$753.62	$1,130.43	$1,765.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $753.62 / $1,564.86 / $13,250.00	Facility		$753.62	$1,564.86	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $753.62 / $1,130.43 / $1,765.85	Facility		$753.62	$1,130.43	$1,765.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,541.15 / $1,877.83 / $2,803.23	Professional		$1,541.15	$1,877.83	$2,803.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,887.52 / $1,887.52 / $1,887.52	Facility	AS	$1,887.52	$1,887.52	$1,887.52
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,733.00 / $14,978.00	Facility		$7,217.00	$11,733.00	$14,978.00