Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.29 / $1,094.84 / $14,482.00	Facility		$517.29	$1,094.84	$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 $1,387.72 / $1,621.67 / $2,487.67	Facility		$1,387.72	$1,621.67	$2,487.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $517.29 / $707.95 / $1,216.50	Facility		$517.29	$707.95	$1,216.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $517.29 / $1,082.16 / $8,296.28	Facility		$517.29	$1,082.16	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $517.29 / $707.95 / $1,216.50	Facility		$517.29	$707.95	$1,216.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,059.50 / $1,290.96 / $1,927.15	Professional		$1,059.50	$1,290.96	$1,927.15
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
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 $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00