Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.13 / $1,164.82 / $14,482.00	Facility		$481.13	$1,164.82	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
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 $1,291.31 / $1,508.99 / $2,314.83	Facility		$1,291.31	$1,508.99	$2,314.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $481.13 / $721.70 / $1,063.30	Facility		$481.13	$721.70	$1,063.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $481.13 / $960.90 / $11,100.00	Facility		$481.13	$960.90	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $481.13 / $692.68 / $1,063.30	Facility		$481.13	$692.68	$1,063.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $982.80 / $1,197.50 / $1,787.64	Professional		$982.80	$1,197.50	$1,787.64
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 $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00