Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.96 / $1,191.71 / $8,243.00	Facility		$558.96	$1,191.71	$8,243.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
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 $2,053.65 / $2,399.86 / $3,681.44	Facility		$2,053.65	$2,399.86	$3,681.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $558.96 / $838.44 / $1,576.98	Facility		$558.96	$838.44	$1,576.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $566.28 / $950.96 / $12,741.00	Facility		$566.28	$950.96	$12,741.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $558.96 / $811.55 / $1,576.98	Facility		$558.96	$811.55	$1,576.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,260.44 / $1,807.87 / $2,592.41	Professional		$1,260.44	$1,807.87	$2,592.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,709.40 / $2,709.40 / $7,213.88	Facility		$2,709.40	$2,709.40	$7,213.88
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