Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.26 / $8,098.40 / $17,823.00	Facility		$813.26	$8,098.40	$17,823.00
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 $762.32 / $962.47 / $3,462.54	Facility		$762.32	$962.47	$3,462.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,175.30 / $2,542.01 / $3,899.52	Facility		$2,175.30	$2,542.01	$3,899.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $813.26 / $1,172.65 / $1,839.00	Facility		$813.26	$1,172.65	$1,839.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $813.26 / $1,634.56 / $13,120.00	Facility		$813.26	$1,634.56	$13,120.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $813.26 / $1,172.65 / $1,839.00	Facility		$813.26	$1,172.65	$1,839.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,597.70 / $1,946.74 / $2,906.09	Professional		$1,597.70	$1,946.74	$2,906.09
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 $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00