Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.87 / $1,250.66 / $8,690.42	Facility		$398.87	$1,250.66	$8,690.42
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 $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 $1,629.23 / $1,903.88 / $2,920.60	Facility		$1,629.23	$1,903.88	$2,920.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $403.58 / $658.00 / $1,250.66	Facility		$403.58	$658.00	$1,250.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $412.88 / $805.57 / $7,160.00	Facility		$412.88	$805.57	$7,160.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $403.58 / $658.00 / $1,250.66	Facility		$403.58	$658.00	$1,250.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $947.91 / $1,388.88 / $2,047.17	Professional		$947.91	$1,388.88	$2,047.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,930.88 / $1,930.88 / $7,213.88	Facility		$1,930.88	$1,930.88	$7,213.88
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $188.17 / $188.17 / $188.17	Facility	AS	$188.17	$188.17	$188.17
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