Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.13 / $1,178.17 / $14,482.00	Facility		$574.13	$1,178.17	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $6,787.00 / $10,517.23	Facility		$1,979.00	$6,787.00	$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 $1,540.01 / $1,799.63 / $2,760.68	Facility		$1,540.01	$1,799.63	$2,760.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $530.09 / $702.52 / $1,309.08	Facility		$530.09	$702.52	$1,309.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $530.09 / $1,013.30 / $5,639.00	Facility		$530.09	$1,013.30	$5,639.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $530.09 / $702.52 / $1,309.08	Facility		$530.09	$702.52	$1,309.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,123.20 / $1,368.58 / $2,043.01	Professional		$1,123.20	$1,368.58	$2,043.01
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 $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00