Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.70 / $679.57 / $14,482.00	Facility		$320.70	$679.57	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$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 $865.98 / $1,011.96 / $1,552.38	Facility		$865.98	$1,011.96	$1,552.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $320.70 / $448.98 / $755.08	Facility		$320.70	$448.98	$755.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $320.70 / $633.58 / $5,261.00	Facility		$320.70	$633.58	$5,261.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $320.70 / $448.98 / $755.08	Facility		$320.70	$448.98	$755.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $653.25 / $795.96 / $1,188.21	Professional		$653.25	$795.96	$1,188.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,722.47 / $1,722.47 / $4,754.80	Facility		$1,722.47	$1,722.47	$4,754.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00