Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.13 / $547.79 / $14,482.00	Facility		$165.13	$547.79	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $12,784.00 / $20,877.00	Facility		$1,979.00	$12,784.00	$20,877.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.46 / $125.18 / $125.18	Facility		$82.46	$125.18	$125.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.77 / $257.99 / $416.13	Facility		$220.77	$257.99	$416.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $87.12 / $120.06 / $396.06	Facility		$87.12	$120.06	$396.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.04 / $2,257.00 / $4,793.00	Facility		$95.04	$2,257.00	$4,793.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $87.12 / $120.06 / $396.06	Facility		$87.12	$120.06	$396.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $167.70 / $251.24 / $378.94	Professional		$167.70	$251.24	$378.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,245.63 / $1,245.63 / $1,245.63	Facility		$1,245.63	$1,245.63	$1,245.63
Security Health Facility/Professional Facility Modifier Low / Median / High Price $10,269.81 / $13,139.87 / $15,102.66	Facility		$10,269.81	$13,139.87	$15,102.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00