Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.66 / $1,838.75 / $14,482.00	Facility		$486.66	$1,838.75	$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 $1,308.43 / $1,529.00 / $2,345.52	Facility		$1,308.43	$1,529.00	$2,345.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $486.66 / $700.62 / $1,146.34	Facility		$486.66	$700.62	$1,146.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $486.66 / $968.69 / $11,100.00	Facility		$486.66	$968.69	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $486.66 / $700.62 / $1,146.34	Facility		$486.66	$700.62	$1,146.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $993.85 / $1,210.97 / $1,807.74	Professional		$993.85	$1,210.97	$1,807.74
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