Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $701.36 / $1,482.50 / $14,482.00	Facility		$701.36	$1,482.50	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,408.00 / $12,444.00	Facility		$5,169.00	$8,408.00	$12,444.00
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 $1,872.53 / $2,188.19 / $3,356.75	Facility		$1,872.53	$2,188.19	$3,356.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $701.36 / $1,008.00 / $1,550.01	Facility		$701.36	$1,008.00	$1,550.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $701.36 / $1,436.59 / $13,120.00	Facility		$701.36	$1,436.59	$13,120.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $701.36 / $1,008.00 / $1,550.01	Facility		$701.36	$1,008.00	$1,550.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,435.20 / $1,748.74 / $2,610.52	Professional		$1,435.20	$1,748.74	$2,610.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,957.00 / $8,957.00 / $8,957.00	Facility		$8,957.00	$8,957.00	$8,957.00
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $849.00 / $849.00 / $849.00	Facility	AS	$849.00	$849.00	$849.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00