Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.91 / $1,219.79 / $14,482.00	Facility		$574.91	$1,219.79	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,692.00 / $13,743.77 / $21,606.00	Facility		$5,692.00	$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 $1,544.52 / $1,804.89 / $2,768.75	Facility		$1,544.52	$1,804.89	$2,768.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $574.91 / $785.00 / $1,270.57	Facility		$574.91	$785.00	$1,270.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $574.91 / $1,167.98 / $8,384.00	Facility		$574.91	$1,167.98	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $574.91 / $785.00 / $1,270.57	Facility		$574.91	$785.00	$1,270.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,182.34 / $1,440.65 / $2,150.60	Professional		$1,182.34	$1,440.65	$2,150.60
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
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