Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.73 / $1,460.52 / $14,482.00	Facility		$687.73	$1,460.52	$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 $1,851.80 / $2,163.98 / $3,319.60	Facility		$1,851.80	$2,163.98	$3,319.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $680.98 / $935.02 / $1,519.88	Facility		$680.98	$935.02	$1,519.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $687.73 / $1,380.53 / $11,100.00	Facility		$687.73	$1,380.53	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $680.98 / $878.07 / $1,519.88	Facility		$680.98	$878.07	$1,519.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,405.95 / $1,713.10 / $2,557.31	Professional		$1,405.95	$1,713.10	$2,557.31
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 $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00