Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $653.89 / $2,472.04 / $21,322.70	Facility		$653.89	$2,472.04	$21,322.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
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 $1,761.69 / $2,058.67 / $3,158.06	Facility		$1,761.69	$2,058.67	$3,158.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $653.89 / $980.84 / $1,541.18	Facility		$653.89	$980.84	$1,541.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $653.89 / $1,349.99 / $13,250.00	Facility		$653.89	$1,349.99	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $653.89 / $980.84 / $1,541.18	Facility		$653.89	$980.84	$1,541.18
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 $9,509.94 / $9,509.94 / $26,251.60	Facility		$9,509.94	$9,509.94	$26,251.60
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