Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.62 / $949.57 / $14,482.00	Facility		$446.62	$949.57	$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 $1,203.00 / $1,405.80 / $2,156.53	Facility		$1,203.00	$1,405.80	$2,156.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $446.62 / $665.38 / $949.57	Facility		$446.62	$665.38	$949.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $446.62 / $885.85 / $11,100.00	Facility		$446.62	$885.85	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $446.62 / $643.00 / $949.57	Facility		$446.62	$643.00	$949.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $913.25 / $1,112.76 / $1,661.13	Professional		$913.25	$1,112.76	$1,661.13
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 $6,073.00 / $9,882.00 / $12,631.00	Facility		$6,073.00	$9,882.00	$12,631.00