Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.24 / $2,623.15 / $14,482.00	Facility		$447.24	$2,623.15	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
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 $1,199.39 / $1,401.58 / $2,150.06	Facility		$1,199.39	$1,401.58	$2,150.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $447.24 / $658.00 / $1,053.75	Facility		$447.24	$658.00	$1,053.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $447.24 / $935.44 / $10,843.00	Facility		$447.24	$935.44	$10,843.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $447.24 / $658.00 / $1,053.75	Facility		$447.24	$658.00	$1,053.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $905.45 / $1,103.26 / $1,646.94	Professional		$905.45	$1,103.26	$1,646.94
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 $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00