Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $729.31 / $1,533.76 / $14,482.00	Facility		$729.31	$1,533.76	$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 $1,928.40 / $2,253.48 / $3,456.90	Facility		$1,928.40	$2,253.48	$3,456.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $729.31 / $1,093.97 / $1,704.18	Facility		$729.31	$1,093.97	$1,704.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $729.31 / $1,508.23 / $11,598.00	Facility		$729.31	$1,508.23	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $729.31 / $1,093.97 / $1,704.18	Facility		$729.31	$1,093.97	$1,704.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,480.05 / $1,803.38 / $2,692.10	Professional		$1,480.05	$1,803.38	$2,692.10
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 $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00