Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.53 / $925.79 / $14,482.00	Facility		$433.53	$925.79	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
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 $1,166.95 / $1,363.67 / $2,091.91	Facility		$1,166.95	$1,363.67	$2,091.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $433.53 / $579.57 / $1,028.65	Facility		$433.53	$579.57	$1,028.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $433.53 / $853.21 / $13,120.00	Facility		$433.53	$853.21	$13,120.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $433.53 / $579.57 / $1,028.65	Facility		$433.53	$579.57	$1,028.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $889.85 / $1,084.25 / $1,618.57	Professional		$889.85	$1,084.25	$1,618.57
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 $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00