Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.86 / $1,214.93 / $14,482.00	Facility		$573.86	$1,214.93	$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 $1,537.31 / $1,796.47 / $2,755.83	Facility		$1,537.31	$1,796.47	$2,755.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $573.86 / $841.96 / $1,349.93	Facility		$573.86	$841.96	$1,349.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $573.86 / $1,199.92 / $11,100.00	Facility		$573.86	$1,199.92	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $573.86 / $841.96 / $1,349.93	Facility		$573.86	$841.96	$1,349.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,173.90 / $1,430.35 / $2,135.23	Professional		$1,173.90	$1,430.35	$2,135.23
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