Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.77 / $908.53 / $14,482.00	Facility		$427.77	$908.53	$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 $1,150.73 / $1,344.72 / $2,062.83	Facility		$1,150.73	$1,344.72	$2,062.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $427.77 / $615.42 / $1,009.48	Facility		$427.77	$615.42	$1,009.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $427.77 / $861.77 / $11,100.00	Facility		$427.77	$861.77	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $427.77 / $615.42 / $1,009.48	Facility		$427.77	$615.42	$1,009.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $875.55 / $1,066.82 / $1,592.56	Professional		$875.55	$1,066.82	$1,592.56
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