Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $961.71 / $8,243.00 / $28,077.82	Facility		$961.71	$8,243.00	$28,077.82
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 $2,551.96 / $2,982.18 / $4,574.74	Facility		$2,551.96	$2,982.18	$4,574.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $961.71 / $1,322.51 / $2,125.38	Facility		$961.71	$1,322.51	$2,125.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $961.71 / $1,991.48 / $15,090.00	Facility		$961.71	$1,991.48	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $961.71 / $1,322.51 / $2,125.38	Facility		$961.71	$1,322.51	$2,125.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,968.85 / $2,398.96 / $3,581.19	Professional		$1,968.85	$2,398.96	$3,581.19
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
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,887.52 / $1,887.52 / $1,887.52	Facility	AS	$1,887.52	$1,887.52	$1,887.52
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