Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.65 / $902.27 / $14,482.00	Facility		$424.65	$902.27	$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 $1,143.52 / $1,336.30 / $2,049.91	Facility		$1,143.52	$1,336.30	$2,049.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $424.65 / $611.73 / $1,002.53	Facility		$424.65	$611.73	$1,002.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $424.65 / $851.07 / $11,100.00	Facility		$424.65	$851.07	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $424.65 / $611.73 / $1,002.53	Facility		$424.65	$611.73	$1,002.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $869.05 / $1,058.90 / $1,580.74	Professional		$869.05	$1,058.90	$1,580.74
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