Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $701.50 / $2,629.52 / $17,823.00	Facility		$701.50	$2,629.52	$17,823.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,971.90 / $2,971.90 / $2,971.90	Facility		$2,971.90	$2,971.90	$2,971.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,859.91 / $2,173.44 / $3,334.13	Facility		$1,859.91	$2,173.44	$3,334.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $701.50 / $969.32 / $1,550.32	Facility		$701.50	$969.32	$1,550.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $701.50 / $1,475.42 / $8,103.00	Facility		$701.50	$1,475.42	$8,103.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $701.50 / $969.32 / $1,550.32	Facility		$701.50	$969.32	$1,550.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,445.60 / $1,761.41 / $2,629.44	Professional		$1,445.60	$1,761.41	$2,629.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,469.60 / $2,469.60 / $6,817.20	Facility		$2,469.60	$2,469.60	$6,817.20
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $646.16 / $646.16 / $646.16	Facility	AS	$646.16	$646.16	$646.16
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00