Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $906.74 / $2,221.76 / $6,461.00	Facility		$906.74	$2,221.76	$6,461.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,942.50 / $1,942.50 / $1,942.50	Facility		$1,942.50	$1,942.50	$1,942.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,819.60 / $3,294.93 / $5,054.51	Facility		$2,819.60	$3,294.93	$5,054.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $898.80 / $1,236.63 / $2,201.08	Facility		$898.80	$1,236.63	$2,201.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $906.74 / $1,459.50 / $6,669.00	Facility		$906.74	$1,459.50	$6,669.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $898.80 / $1,236.63 / $2,201.08	Facility		$898.80	$1,236.63	$2,201.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,961.40 / $2,589.05 / $3,675.01	Professional		$1,961.40	$2,589.05	$3,675.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,722.47 / $1,722.47 / $3,967.52	Facility		$1,722.47	$1,722.47	$3,967.52
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00