Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $722.55 / $1,537.42 / $14,482.00	Facility		$722.55	$1,537.42	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,971.90 / $2,971.90 / $2,971.90	Facility		$2,971.90	$2,971.90	$2,971.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,939.21 / $2,266.12 / $3,476.29	Facility		$1,939.21	$2,266.12	$3,476.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $722.55 / $1,011.57 / $1,878.63	Facility		$722.55	$1,011.57	$1,878.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $722.55 / $1,515.88 / $5,639.00	Facility		$722.55	$1,515.88	$5,639.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $722.55 / $1,011.57 / $1,878.63	Facility		$722.55	$1,011.57	$1,878.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,489.80 / $1,815.26 / $2,709.83	Professional		$1,489.80	$1,815.26	$2,709.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,469.60 / $2,469.60 / $6,817.20	Facility		$2,469.60	$2,469.60	$6,817.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,723.00 / $4,155.00 / $6,438.00	Facility		$2,723.00	$4,155.00	$6,438.00