Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.35 / $1,658.57 / $14,482.00	Facility		$788.35	$1,658.57	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,408.00 / $12,444.00	Facility		$5,169.00	$8,408.00	$12,444.00
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 $2,097.81 / $2,451.44 / $3,760.59	Facility		$2,097.81	$2,451.44	$3,760.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $788.35 / $1,081.64 / $1,718.33	Facility		$788.35	$1,081.64	$1,718.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $788.35 / $1,584.85 / $11,100.00	Facility		$788.35	$1,584.85	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $788.35 / $1,045.61 / $1,718.33	Facility		$788.35	$1,045.61	$1,718.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,608.75 / $1,960.20 / $2,926.19	Professional		$1,608.75	$1,960.20	$2,926.19
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 $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00