Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.76 / $1,412.89 / $15,925.28	Facility		$480.76	$1,412.89	$15,925.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $15,502.00 / $22,165.00	Facility		$11,499.00	$15,502.00	$22,165.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11,025.05 / $11,025.05 / $11,025.05	Facility		$11,025.05	$11,025.05	$11,025.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,842.79 / $2,153.44 / $3,303.44	Facility		$1,842.79	$2,153.44	$3,303.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $480.76 / $778.26 / $1,427.14	Facility		$480.76	$778.26	$1,427.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $490.13 / $961.57 / $13,982.00	Facility		$490.13	$961.57	$13,982.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $480.76 / $755.22 / $1,427.14	Facility		$480.76	$755.22	$1,427.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,101.06 / $1,570.03 / $2,292.23	Professional		$1,101.06	$1,570.03	$2,292.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,278.84 / $2,278.84 / $9,974.27	Facility		$2,278.84	$2,278.84	$9,974.27
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $219.66 / $219.66 / $219.66	Facility	AS	$219.66	$219.66	$219.66
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