Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.25 / $1,881.49 / $8,243.00	Facility		$497.25	$1,881.49	$8,243.00
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 $1,342.67 / $1,569.01 / $2,406.91	Facility		$1,342.67	$1,569.01	$2,406.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $469.20 / $581.78 / $1,115.29	Facility		$469.20	$581.78	$1,115.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $469.20 / $1,006.49 / $8,296.28	Facility		$469.20	$1,006.49	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $469.20 / $581.78 / $1,115.29	Facility		$469.20	$581.78	$1,115.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,015.30 / $1,237.09 / $1,846.75	Professional		$1,015.30	$1,237.09	$1,846.75
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 $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00