Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.64 / $6,461.00 / $16,125.13	Facility		$528.64	$6,461.00	$16,125.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,462.54 / $3,462.54 / $3,462.54	Facility		$3,462.54	$3,462.54	$3,462.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,416.56 / $1,655.36 / $2,539.37	Facility		$1,416.56	$1,655.36	$2,539.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $528.64 / $792.96 / $1,371.04	Facility		$528.64	$792.96	$1,371.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $528.64 / $1,120.72 / $11,100.00	Facility		$528.64	$1,120.72	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $528.64 / $792.96 / $1,371.04	Facility		$528.64	$792.96	$1,371.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,082.90 / $1,319.47 / $1,969.71	Professional		$1,082.90	$1,319.47	$1,969.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,244.77 / $3,244.77 / $8,957.00	Facility		$3,244.77	$3,244.77	$8,957.00
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $849.00 / $849.00 / $849.00	Facility	AS	$849.00	$849.00	$849.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00