Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $545.45 / $1,155.31 / $14,482.00	Facility		$545.45	$1,155.31	$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 $3,462.54 / $3,462.54 / $3,462.54	Facility		$3,462.54	$3,462.54	$3,462.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,460.72 / $1,706.96 / $2,618.52	Facility		$1,460.72	$1,706.96	$2,618.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $545.45 / $770.21 / $1,283.68	Facility		$545.45	$770.21	$1,283.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $545.45 / $1,097.29 / $11,100.00	Facility		$545.45	$1,097.29	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $545.45 / $770.21 / $1,283.68	Facility		$545.45	$770.21	$1,283.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,114.75 / $1,358.28 / $2,027.64	Professional		$1,114.75	$1,358.28	$2,027.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,244.77 / $3,244.77 / $8,957.00	Facility		$3,244.77	$3,244.77	$8,957.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00