Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.77 / $3,141.21 / $8,098.40	Facility		$784.77	$3,141.21	$8,098.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
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 $2,105.02 / $2,459.88 / $3,773.52	Facility		$2,105.02	$2,459.88	$3,773.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $748.33 / $970.68 / $1,734.34	Facility		$748.33	$970.68	$1,734.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $784.77 / $1,439.90 / $11,100.00	Facility		$784.77	$1,439.90	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $748.33 / $970.68 / $1,734.34	Facility		$748.33	$970.68	$1,734.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,428.05 / $1,758.04 / $2,597.51	Professional		$1,428.05	$1,758.04	$2,597.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,957.00 / $8,957.00 / $8,957.00	Facility		$8,957.00	$8,957.00	$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