Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.05 / $1,629.38 / $14,482.00	Facility		$772.05	$1,629.38	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,287.00 / $13,743.77 / $21,606.00	Facility		$9,287.00	$13,743.77	$21,606.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9,803.87 / $9,803.87 / $9,803.87	Facility		$9,803.87	$9,803.87	$9,803.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,063.56 / $2,411.44 / $3,699.21	Facility		$2,063.56	$2,411.44	$3,699.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $772.05 / $1,092.72 / $1,810.43	Facility		$772.05	$1,092.72	$1,810.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $772.05 / $1,579.99 / $15,090.00	Facility		$772.05	$1,579.99	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $772.05 / $1,092.72 / $1,810.43	Facility		$772.05	$1,092.72	$1,810.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,579.50 / $1,924.56 / $2,872.99	Professional		$1,579.50	$1,924.56	$2,872.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,564.70 / $9,564.70 / $26,402.80	Facility		$9,564.70	$9,564.70	$26,402.80
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00