Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.59 / $1,487.81 / $14,482.00	Facility		$704.59	$1,487.81	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10,524.05 / $10,524.05 / $10,524.05	Facility		$10,524.05	$10,524.05	$10,524.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,879.74 / $2,196.62 / $3,369.67	Facility		$1,879.74	$2,196.62	$3,369.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $704.59 / $1,029.86 / $1,632.80	Facility		$704.59	$1,029.86	$1,632.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $704.59 / $1,447.67 / $13,250.00	Facility		$704.59	$1,447.67	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $704.59 / $1,016.30 / $1,632.80	Facility		$704.59	$1,016.30	$1,632.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,440.40 / $1,755.07 / $2,619.98	Professional		$1,440.40	$1,755.07	$2,619.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,923.23 / $9,923.23 / $27,392.45	Facility		$9,923.23	$9,923.23	$27,392.45
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,799.00 / $16,373.00	Facility		$5,266.00	$11,799.00	$16,373.00