Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.33 / $1,361.23 / $14,482.00	Facility		$644.33	$1,361.23	$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 $1,723.84 / $2,014.45 / $3,090.21	Facility		$1,723.84	$2,014.45	$3,090.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $644.33 / $919.13 / $1,423.97	Facility		$644.33	$919.13	$1,423.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $644.33 / $1,326.80 / $13,250.00	Facility		$644.33	$1,326.80	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $644.33 / $919.13 / $1,423.97	Facility		$644.33	$919.13	$1,423.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,320.80 / $1,609.34 / $2,402.42	Professional		$1,320.80	$1,609.34	$2,402.42
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
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00