Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.26 / $710.12 / $3,119.00	Facility		$342.26	$710.12	$3,119.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
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 $1,417.46 / $1,656.42 / $2,540.98	Facility		$1,417.46	$1,656.42	$2,540.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $346.40 / $561.85 / $1,154.90	Facility		$346.40	$561.85	$1,154.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.86 / $704.00 / $7,160.00	Facility		$363.86	$704.00	$7,160.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $346.40 / $561.85 / $1,154.90	Facility		$346.40	$561.85	$1,154.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $790.82 / $1,196.68 / $1,763.87	Professional		$790.82	$1,196.68	$1,763.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,622.48 / $1,622.48 / $3,244.77	Facility		$1,622.48	$1,622.48	$3,244.77
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00