Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $866.21 / $1,788.43 / $14,482.00	Facility		$866.21	$1,788.43	$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 $2,319.48 / $2,710.50 / $4,157.97	Facility		$2,319.48	$2,710.50	$4,157.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $866.21 / $1,117.85 / $1,836.37	Facility		$866.21	$1,117.85	$1,836.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $866.21 / $1,623.72 / $11,100.00	Facility		$866.21	$1,623.72	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $866.21 / $1,099.00 / $1,836.37	Facility		$866.21	$1,099.00	$1,836.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,711.45 / $2,085.34 / $3,113.00	Professional		$1,711.45	$2,085.34	$3,113.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,957.00 / $8,957.00 / $8,957.00	Facility		$8,957.00	$8,957.00	$8,957.00
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $849.00 / $849.00 / $849.00	Facility	AS	$849.00	$849.00	$849.00
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