Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.13 / $5,628.00 / $14,482.00	Facility		$575.13	$5,628.00	$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 $1,547.22 / $1,808.05 / $2,773.60	Facility		$1,547.22	$1,808.05	$2,773.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $575.13 / $805.18 / $1,353.58	Facility		$575.13	$805.18	$1,353.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $575.13 / $1,165.84 / $11,100.00	Facility		$575.13	$1,165.84	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $575.13 / $805.18 / $1,353.58	Facility		$575.13	$805.18	$1,353.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,177.80 / $1,435.10 / $2,142.33	Professional		$1,177.80	$1,435.10	$2,142.33
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