Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $556.51 / $1,177.99 / $14,482.00	Facility		$556.51	$1,177.99	$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 $1,491.35 / $1,742.76 / $2,673.45	Facility		$1,491.35	$1,742.76	$2,673.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $556.51 / $785.33 / $1,308.88	Facility		$556.51	$785.33	$1,308.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $556.51 / $1,125.63 / $11,100.00	Facility		$556.51	$1,125.63	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $556.51 / $785.33 / $1,308.88	Facility		$556.51	$785.33	$1,308.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,136.84 / $1,385.21 / $2,067.84	Professional		$1,136.84	$1,385.21	$2,067.84
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