Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $536.63 / $1,139.04 / $14,482.00	Facility		$536.63	$1,139.04	$14,482.00
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 $1,439.99 / $1,682.74 / $2,581.37	Facility		$1,439.99	$1,682.74	$2,581.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $536.63 / $727.83 / $1,185.95	Facility		$536.63	$727.83	$1,185.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $536.63 / $1,125.44 / $8,103.00	Facility		$536.63	$1,125.44	$8,103.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $536.63 / $727.83 / $1,185.95	Facility		$536.63	$727.83	$1,185.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,099.15 / $1,339.27 / $1,999.27	Professional		$1,099.15	$1,339.27	$1,999.27
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 $4,103.00 / $7,495.00 / $9,134.00	Facility		$4,103.00	$7,495.00	$9,134.00