Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $659.11 / $1,392.34 / $14,482.00	Facility		$659.11	$1,392.34	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,287.00 / $13,743.77 / $21,606.00	Facility		$9,287.00	$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 $1,764.39 / $2,061.83 / $3,162.90	Facility		$1,764.39	$2,061.83	$3,162.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $659.11 / $954.08 / $1,547.05	Facility		$659.11	$954.08	$1,547.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $659.11 / $1,373.31 / $13,250.00	Facility		$659.11	$1,373.31	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $659.11 / $954.08 / $1,547.05	Facility		$659.11	$954.08	$1,547.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,349.40 / $1,644.19 / $2,454.44	Professional		$1,349.40	$1,644.19	$2,454.44
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 $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00