Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $608.26 / $2,295.81 / $14,482.00	Facility		$608.26	$2,295.81	$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 $1,629.23 / $1,903.88 / $2,920.60	Facility		$1,629.23	$1,903.88	$2,920.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $608.26 / $912.39 / $1,431.30	Facility		$608.26	$912.39	$1,431.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $608.26 / $1,232.84 / $11,100.00	Facility		$608.26	$1,232.84	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $608.26 / $912.39 / $1,431.30	Facility		$608.26	$912.39	$1,431.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,243.45 / $1,515.10 / $2,261.73	Professional		$1,243.45	$1,515.10	$2,261.73
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