Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.67 / $1,411.11 / $14,482.00	Facility		$243.67	$1,411.11	$14,482.00
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 $1,777.91 / $2,077.63 / $3,187.13	Facility		$1,777.91	$2,077.63	$3,187.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $668.73 / $922.21 / $1,477.89	Facility		$668.73	$922.21	$1,477.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $668.73 / $1,407.89 / $8,103.00	Facility		$668.73	$1,407.89	$8,103.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $668.73 / $922.21 / $1,477.89	Facility		$668.73	$922.21	$1,477.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,382.55 / $1,684.58 / $2,514.75	Professional		$1,382.55	$1,684.58	$2,514.75
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 $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00