Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $567.27 / $1,198.36 / $14,482.00	Facility		$567.27	$1,198.36	$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 $1,518.39 / $1,774.36 / $2,721.91	Facility		$1,518.39	$1,774.36	$2,721.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $565.15 / $717.67 / $1,218.00	Facility		$565.15	$717.67	$1,218.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $567.27 / $1,145.10 / $8,296.28	Facility		$567.27	$1,145.10	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $565.15 / $713.83 / $1,218.00	Facility		$565.15	$713.83	$1,218.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,161.55 / $1,415.30 / $2,112.77	Professional		$1,161.55	$1,415.30	$2,112.77
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 $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00