Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $721.69 / $2,718.22 / $14,482.00	Facility		$721.69	$2,718.22	$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 $2,971.90 / $2,971.90 / $2,971.90	Facility		$2,971.90	$2,971.90	$2,971.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,922.99 / $2,247.17 / $3,447.21	Facility		$1,922.99	$2,247.17	$3,447.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $721.69 / $999.52 / $1,594.93	Facility		$721.69	$999.52	$1,594.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $721.69 / $1,525.19 / $8,103.00	Facility		$721.69	$1,525.19	$8,103.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $721.69 / $999.52 / $1,594.93	Facility		$721.69	$999.52	$1,594.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,496.30 / $1,823.18 / $2,721.65	Professional		$1,496.30	$1,823.18	$2,721.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,469.60 / $2,469.60 / $6,817.20	Facility		$2,469.60	$2,469.60	$6,817.20
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $646.16 / $646.16 / $646.16	Facility	AS	$646.16	$646.16	$646.16
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