Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $604.85 / $8,243.00 / $14,866.12	Facility		$604.85	$8,243.00	$14,866.12
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 $1,617.51 / $1,890.19 / $2,899.60	Facility		$1,617.51	$1,890.19	$2,899.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $604.85 / $876.32 / $1,572.61	Facility		$604.85	$876.32	$1,572.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $604.85 / $1,278.79 / $10,843.00	Facility		$604.85	$1,278.79	$10,843.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $604.85 / $876.32 / $1,572.61	Facility		$604.85	$876.32	$1,572.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,238.90 / $1,509.55 / $2,253.46	Professional		$1,238.90	$1,509.55	$2,253.46
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 $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00