Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.80 / $1,334.00 / $14,482.00	Facility		$630.80	$1,334.00	$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 $1,689.60 / $1,974.43 / $3,028.83	Facility		$1,689.60	$1,974.43	$3,028.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $630.80 / $889.34 / $1,376.50	Facility		$630.80	$889.34	$1,376.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.80 / $1,274.71 / $11,100.00	Facility		$630.80	$1,274.71	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $630.80 / $883.13 / $1,376.50	Facility		$630.80	$883.13	$1,376.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,288.30 / $1,569.74 / $2,343.32	Professional		$1,288.30	$1,569.74	$2,343.32
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