Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.53 / $1,033.49 / $14,482.00	Facility		$487.53	$1,033.49	$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 $1,307.53 / $1,527.95 / $2,343.91	Facility		$1,307.53	$1,527.95	$2,343.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $487.53 / $682.50 / $1,148.33	Facility		$487.53	$682.50	$1,148.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $487.53 / $987.56 / $11,100.00	Facility		$487.53	$987.56	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $487.53 / $682.50 / $1,148.33	Facility		$487.53	$682.50	$1,148.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $995.80 / $1,213.33 / $1,811.28	Professional		$995.80	$1,213.33	$1,811.28
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 $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00