Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $665.83 / $6,461.00 / $13,349.67	Facility		$665.83	$6,461.00	$13,349.67
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 $1,768.90 / $2,067.10 / $3,170.98	Facility		$1,768.90	$2,067.10	$3,170.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $665.83 / $920.72 / $1,471.48	Facility		$665.83	$920.72	$1,471.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $665.83 / $1,404.04 / $8,103.00	Facility		$665.83	$1,404.04	$8,103.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $665.83 / $920.72 / $1,471.48	Facility		$665.83	$920.72	$1,471.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,376.70 / $1,677.46 / $2,504.11	Professional		$1,376.70	$1,677.46	$2,504.11
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