Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $694.12 / $3,156.19 / $20,517.84	Facility		$694.12	$3,156.19	$20,517.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,287.00 / $13,743.77 / $21,606.00	Facility		$9,287.00	$13,743.77	$21,606.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $665.24 / $841.25 / $7,560.77	Facility		$665.24	$841.25	$7,560.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,857.21 / $2,170.29 / $3,329.29	Facility		$1,857.21	$2,170.29	$3,329.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $674.80 / $848.32 / $1,612.95	Facility		$674.80	$848.32	$1,612.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $694.12 / $1,436.11 / $14,270.00	Facility		$694.12	$1,436.11	$14,270.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $674.80 / $848.32 / $1,612.95	Facility		$674.80	$848.32	$1,612.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,397.50 / $1,702.80 / $2,541.94	Professional		$1,397.50	$1,702.80	$2,541.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,825.50 / $9,825.50 / $27,122.70	Facility		$9,825.50	$9,825.50	$27,122.70
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,570.85 / $2,570.85 / $2,570.85	Facility	AS	$2,570.85	$2,570.85	$2,570.85
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00