Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.27 / $1,364.38 / $14,482.00	Facility		$660.27	$1,364.38	$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 $1,769.80 / $2,068.15 / $3,172.60	Facility		$1,769.80	$2,068.15	$3,172.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $660.27 / $839.95 / $1,515.98	Facility		$660.27	$839.95	$1,515.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.27 / $1,185.57 / $5,639.00	Facility		$660.27	$1,185.57	$5,639.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $660.27 / $839.95 / $1,515.98	Facility		$660.27	$839.95	$1,515.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,303.25 / $1,587.96 / $2,370.51	Professional		$1,303.25	$1,587.96	$2,370.51
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