Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.62 / $1,350.34 / $14,482.00	Facility		$637.62	$1,350.34	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $13,743.77 / $21,606.00	Facility		$8,139.00	$13,743.77	$21,606.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,560.77 / $7,560.77 / $7,560.77	Facility		$7,560.77	$7,560.77	$7,560.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,707.62 / $1,995.49 / $3,061.14	Facility		$1,707.62	$1,995.49	$3,061.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $637.62 / $900.23 / $1,389.97	Facility		$637.62	$900.23	$1,389.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $637.62 / $1,284.96 / $11,598.00	Facility		$637.62	$1,284.96	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $637.62 / $892.67 / $1,389.97	Facility		$637.62	$892.67	$1,389.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,311.05 / $1,597.46 / $2,384.69	Professional		$1,311.05	$1,597.46	$2,384.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,887.52 / $1,887.52 / $1,887.52	Facility	AS	$1,887.52	$1,887.52	$1,887.52
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