Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.76 / $2,645.76 / $14,482.00	Facility		$699.76	$2,645.76	$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 $1,877.03 / $2,193.46 / $3,364.83	Facility		$1,877.03	$2,193.46	$3,364.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $699.76 / $989.69 / $1,649.48	Facility		$699.76	$989.69	$1,649.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $699.76 / $1,416.99 / $11,100.00	Facility		$699.76	$1,416.99	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $699.76 / $989.69 / $1,649.48	Facility		$699.76	$989.69	$1,649.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,435.20 / $1,748.74 / $2,610.52	Professional		$1,435.20	$1,748.74	$2,610.52
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 $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00