Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.07 / $437.24 / $14,482.00	Facility		$197.07	$437.24	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $226.35 / $357.45 / $357.45	Facility		$226.35	$357.45	$357.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $544.28 / $636.03 / $1,025.89	Facility		$544.28	$636.03	$1,025.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $197.07 / $261.68 / $417.81	Facility		$197.07	$261.68	$417.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.76 / $1,124.00 / $2,043.20	Facility		$213.76	$1,124.00	$2,043.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $197.07 / $261.68 / $417.81	Facility		$197.07	$261.68	$417.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $462.15 / $711.00 / $952.59	Professional		$462.15	$711.00	$952.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,076.31 / $1,076.31 / $1,076.31	Facility		$1,076.31	$1,076.31	$1,076.31
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $107.63 / $107.63 / $107.63	Facility	AS	$107.63	$107.63	$107.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90