Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $648.11 / $6,461.00 / $17,823.00	Facility		$648.11	$6,461.00	$17,823.00
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 $1,735.56 / $2,028.14 / $3,111.21	Facility		$1,735.56	$2,028.14	$3,111.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $648.11 / $907.35 / $1,432.32	Facility		$648.11	$907.35	$1,432.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $648.11 / $1,370.84 / $11,100.00	Facility		$648.11	$1,370.84	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $648.11 / $885.68 / $1,432.32	Facility		$648.11	$885.68	$1,432.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,326.65 / $1,616.47 / $2,413.07	Professional		$1,326.65	$1,616.47	$2,413.07
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