Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $926.09 / $1,951.74 / $14,482.00	Facility		$926.09	$1,951.74	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,692.00 / $13,743.77 / $21,606.00	Facility		$5,692.00	$13,743.77	$21,606.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9,952.61 / $9,952.61 / $9,952.61	Facility		$9,952.61	$9,952.61	$9,952.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,452.85 / $2,866.35 / $4,397.05	Facility		$2,452.85	$2,866.35	$4,397.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $926.09 / $1,218.22 / $2,046.66	Facility		$926.09	$1,218.22	$2,046.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $926.09 / $1,942.96 / $15,090.00	Facility		$926.09	$1,942.96	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $926.09 / $1,218.22 / $2,046.66	Facility		$926.09	$1,218.22	$2,046.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,896.05 / $2,310.26 / $3,448.77	Professional		$1,896.05	$2,310.26	$3,448.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,740.23 / $9,740.23 / $26,887.30	Facility		$9,740.23	$9,740.23	$26,887.30
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $13,721.00 / $17,327.00	Facility		$7,984.00	$13,721.00	$17,327.00