Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.10 / $947.00 / $14,482.00	Facility		$344.10	$947.00	$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 $936.26 / $1,094.09 / $1,678.37	Facility		$936.26	$1,094.09	$1,678.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $344.10 / $459.64 / $738.70	Facility		$344.10	$459.64	$738.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $344.10 / $679.42 / $8,296.28	Facility		$344.10	$679.42	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $344.10 / $459.64 / $738.70	Facility		$344.10	$459.64	$738.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $708.50 / $863.28 / $1,288.71	Professional		$708.50	$863.28	$1,288.71
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 $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00