Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $568.63 / $1,205.44 / $14,482.00	Facility		$568.63	$1,205.44	$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 $1,525.60 / $1,782.78 / $2,734.83	Facility		$1,525.60	$1,782.78	$2,734.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $565.82 / $732.96 / $1,221.32	Facility		$565.82	$732.96	$1,221.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $568.63 / $1,151.22 / $11,100.00	Facility		$568.63	$1,151.22	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $565.82 / $719.16 / $1,221.32	Facility		$565.82	$719.16	$1,221.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,163.50 / $1,417.68 / $2,116.32	Professional		$1,163.50	$1,417.68	$2,116.32
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