Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.20 / $2,025.60 / $15,687.36	Facility		$407.20	$2,025.60	$15,687.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,507.48 / $1,507.48 / $1,507.48	Facility		$1,507.48	$1,507.48	$1,507.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,093.96 / $1,278.38 / $1,961.07	Facility		$1,093.96	$1,278.38	$1,961.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $407.20 / $553.22 / $899.91	Facility		$407.20	$553.22	$899.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $407.20 / $854.65 / $8,103.00	Facility		$407.20	$854.65	$8,103.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $407.20 / $553.22 / $899.91	Facility		$407.20	$553.22	$899.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $835.25 / $1,017.72 / $1,519.26	Professional		$835.25	$1,017.72	$1,519.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,455.33 / $1,455.33 / $4,017.35	Facility		$1,455.33	$1,455.33	$4,017.35
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $380.79 / $380.79 / $380.79	Facility	AS	$380.79	$380.79	$380.79
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00