Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $661.30 / $2,500.11 / $16,506.08	Facility		$661.30	$2,500.11	$16,506.08
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 $10,427.28 / $10,427.28 / $10,427.28	Facility		$10,427.28	$10,427.28	$10,427.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,769.80 / $2,068.15 / $3,172.60	Facility		$1,769.80	$2,068.15	$3,172.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $661.30 / $991.95 / $1,575.00	Facility		$661.30	$991.95	$1,575.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $661.30 / $1,385.59 / $15,090.00	Facility		$661.30	$1,385.59	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $661.30 / $991.95 / $1,575.00	Facility		$661.30	$991.95	$1,575.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,357.85 / $1,654.49 / $2,469.82	Professional		$1,357.85	$1,654.49	$2,469.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,865.95 / $9,865.95 / $27,234.40	Facility		$9,865.95	$9,865.95	$27,234.40
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,581.44 / $2,581.44 / $2,581.44	Facility	AS	$2,581.44	$2,581.44	$2,581.44
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