Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $672.43 / $1,421.17 / $14,482.00	Facility		$672.43	$1,421.17	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,408.00 / $12,444.00	Facility		$5,169.00	$8,408.00	$12,444.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,462.54 / $3,462.54 / $3,462.54	Facility		$3,462.54	$3,462.54	$3,462.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,795.03 / $2,097.64 / $3,217.83	Facility		$1,795.03	$2,097.64	$3,217.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $672.43 / $972.14 / $1,579.08	Facility		$672.43	$972.14	$1,579.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $672.43 / $1,383.53 / $11,100.00	Facility		$672.43	$1,383.53	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $672.43 / $972.14 / $1,579.08	Facility		$672.43	$972.14	$1,579.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,379.30 / $1,680.62 / $2,508.84	Professional		$1,379.30	$1,680.62	$2,508.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,244.77 / $3,244.77 / $8,957.00	Facility		$3,244.77	$3,244.77	$8,957.00
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $849.00 / $849.00 / $849.00	Facility	AS	$849.00	$849.00	$849.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00