Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.80 / $596.32 / $3,119.00	Facility		$228.80	$596.32	$3,119.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $346.22 / $388.91 / $1,467.00	Facility	54	$346.22	$388.91	$1,467.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,942.50 / $1,942.50 / $1,942.50	Facility		$1,942.50	$1,942.50	$1,942.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,398.54 / $1,634.30 / $2,507.06	Facility		$1,398.54	$1,634.30	$2,507.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $475.12 / $659.74 / $1,099.30	Facility		$475.12	$659.74	$1,099.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $481.27 / $746.53 / $1,756.00	Facility		$481.27	$746.53	$1,756.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $475.12 / $653.34 / $1,099.30	Facility		$475.12	$653.34	$1,099.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,055.27 / $1,287.79 / $1,846.49	Professional		$1,055.27	$1,287.79	$1,846.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,722.47 / $1,722.47 / $2,238.16	Facility		$1,722.47	$1,722.47	$2,238.16
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $1,534.41 / $1,534.41 / $1,534.41	Facility	54	$1,534.41	$1,534.41	$1,534.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,370.00 / $2,202.90	Facility		$1,008.00	$1,370.00	$2,202.90