Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.00 / $1,473.95 / $14,482.00	Facility		$699.00	$1,473.95	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
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 $1,865.32 / $2,179.77 / $3,343.83	Facility		$1,865.32	$2,179.77	$3,343.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $699.00 / $982.64 / $1,544.79	Facility		$699.00	$982.64	$1,544.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $699.00 / $1,438.85 / $11,100.00	Facility		$699.00	$1,438.85	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $699.00 / $980.00 / $1,544.79	Facility		$699.00	$980.00	$1,544.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,428.70 / $1,740.82 / $2,598.69	Professional		$1,428.70	$1,740.82	$2,598.69
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 $6,073.00 / $9,882.00 / $12,631.00	Facility		$6,073.00	$9,882.00	$12,631.00