Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $565.20 / $1,217.77 / $14,482.00	Facility		$565.20	$1,217.77	$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 $10,679.91 / $10,679.91 / $10,679.91	Facility		$10,679.91	$10,679.91	$10,679.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,519.29 / $1,775.41 / $2,723.52	Facility		$1,519.29	$1,775.41	$2,723.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $565.20 / $811.85 / $1,256.00	Facility		$565.20	$811.85	$1,256.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $565.20 / $1,163.64 / $8,384.00	Facility		$565.20	$1,163.64	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $565.20 / $791.28 / $1,256.00	Facility		$565.20	$791.28	$1,256.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,179.75 / $1,437.48 / $2,145.87	Professional		$1,179.75	$1,437.48	$2,145.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,983.60 / $9,983.60 / $27,559.10	Facility		$9,983.60	$9,983.60	$27,559.10
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00