Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $522.45 / $1,105.27 / $14,482.00	Facility		$522.45	$1,105.27	$14,482.00
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 $1,395.83 / $1,631.14 / $2,502.21	Facility		$1,395.83	$1,631.14	$2,502.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $522.45 / $713.55 / $1,154.60	Facility		$522.45	$713.55	$1,154.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $522.45 / $1,090.36 / $8,103.00	Facility		$522.45	$1,090.36	$8,103.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $522.45 / $713.55 / $1,154.60	Facility		$522.45	$713.55	$1,154.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,073.15 / $1,307.58 / $1,951.98	Professional		$1,073.15	$1,307.58	$1,951.98
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