Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $690.91 / $1,425.10 / $14,482.00	Facility		$690.91	$1,425.10	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,408.00 / $14,586.00	Facility		$5,169.00	$8,408.00	$14,586.00
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 $1,847.30 / $2,158.71 / $3,311.52	Facility		$1,847.30	$2,158.71	$3,311.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $690.91 / $973.47 / $1,526.91	Facility		$690.91	$973.47	$1,526.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $690.91 / $1,401.41 / $15,090.00	Facility		$690.91	$1,401.41	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $690.91 / $973.47 / $1,526.91	Facility		$690.91	$973.47	$1,526.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,381.25 / $1,683.00 / $2,512.39	Professional		$1,381.25	$1,683.00	$2,512.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
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