Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.95 / $1,266.97 / $14,482.00	Facility		$613.95	$1,266.97	$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 $1,652.65 / $1,931.26 / $2,962.60	Facility		$1,652.65	$1,931.26	$2,962.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $580.90 / $738.34 / $1,407.75	Facility		$580.90	$738.34	$1,407.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $580.90 / $1,082.22 / $11,100.00	Facility		$580.90	$1,082.22	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $580.90 / $738.34 / $1,407.75	Facility		$580.90	$738.34	$1,407.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,206.40 / $1,469.95 / $2,194.35	Professional		$1,206.40	$1,469.95	$2,194.35
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 $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00