Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.81 / $1,719.85 / $14,482.00	Facility		$832.81	$1,719.85	$14,482.00
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 $2,230.27 / $2,606.25 / $3,998.05	Facility		$2,230.27	$2,606.25	$3,998.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $832.81 / $1,069.96 / $1,765.56	Facility		$832.81	$1,069.96	$1,765.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $832.81 / $1,553.14 / $11,100.00	Facility		$832.81	$1,553.14	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $832.81 / $1,051.90 / $1,765.56	Facility		$832.81	$1,051.90	$1,765.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,644.50 / $2,003.76 / $2,991.22	Professional		$1,644.50	$2,003.76	$2,991.22
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