Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.48 / $403.72 / $14,482.00	Facility		$185.48	$403.72	$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 $208.46 / $328.88 / $328.88	Facility		$208.46	$328.88	$328.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $502.83 / $587.59 / $947.76	Facility		$502.83	$587.59	$947.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $185.48 / $217.01 / $776.93	Facility		$185.48	$217.01	$776.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $189.07 / $1,100.00 / $2,090.40	Facility		$189.07	$1,100.00	$2,090.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $185.48 / $217.01 / $776.93	Facility		$185.48	$217.01	$776.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $425.75 / $655.00 / $880.63	Professional		$425.75	$655.00	$880.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $99.16 / $99.16 / $99.16	Facility	AS	$99.16	$99.16	$99.16
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