Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.48 / $1,270.67 / $14,482.00	Facility		$601.48	$1,270.67	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $13,743.77 / $21,606.00	Facility		$8,139.00	$13,743.77	$21,606.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,560.77 / $7,560.77 / $7,560.77	Facility		$7,560.77	$7,560.77	$7,560.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,595.88 / $1,864.92 / $2,860.83	Facility		$1,595.88	$1,864.92	$2,860.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $601.48 / $902.22 / $1,329.27	Facility		$601.48	$902.22	$1,329.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $601.48 / $1,238.08 / $11,598.00	Facility		$601.48	$1,238.08	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $601.48 / $867.61 / $1,329.27	Facility		$601.48	$867.61	$1,329.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,251.90 / $1,525.39 / $2,277.11	Professional		$1,251.90	$1,525.39	$2,277.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,882.00 / $12,631.00	Facility		$6,073.00	$9,882.00	$12,631.00