Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $763.43 / $1,609.74 / $14,482.00	Facility		$763.43	$1,609.74	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,141.00 / $22,609.00	Facility		$10,878.00	$15,141.00	$22,609.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21,113.04 / $21,113.04 / $21,113.04	Facility		$21,113.04	$21,113.04	$21,113.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,023.01 / $2,364.05 / $3,626.52	Facility		$2,023.01	$2,364.05	$3,626.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $763.43 / $1,117.08 / $1,687.18	Facility		$763.43	$1,117.08	$1,687.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $763.43 / $1,538.20 / $15,090.00	Facility		$763.43	$1,538.20	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $763.43 / $1,096.54 / $1,687.18	Facility		$763.43	$1,096.54	$1,687.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,541.80 / $1,878.62 / $2,804.42	Professional		$1,541.80	$1,878.62	$2,804.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20,423.16 / $20,423.16 / $56,376.90	Facility		$20,423.16	$20,423.16	$56,376.90
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $5,343.73 / $5,343.73 / $5,343.73	Facility	AS	$5,343.73	$5,343.73	$5,343.73
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00