Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.23 / $1,048.82 / $14,482.00	Facility		$496.23	$1,048.82	$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 $1,330.05 / $1,554.27 / $2,384.29	Facility		$1,330.05	$1,554.27	$2,384.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $496.23 / $715.27 / $1,165.34	Facility		$496.23	$715.27	$1,165.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $496.23 / $1,037.63 / $11,100.00	Facility		$496.23	$1,037.63	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $496.23 / $715.27 / $1,165.34	Facility		$496.23	$715.27	$1,165.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,012.70 / $1,233.94 / $1,842.02	Professional		$1,012.70	$1,233.94	$1,842.02
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