Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $740.53 / $1,532.74 / $14,482.00	Facility		$740.53	$1,532.74	$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 $1,981.56 / $2,315.61 / $3,552.21	Facility		$1,981.56	$2,315.61	$3,552.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $740.53 / $931.66 / $1,703.05	Facility		$740.53	$931.66	$1,703.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $740.53 / $1,353.22 / $11,100.00	Facility		$740.53	$1,353.22	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $740.53 / $931.66 / $1,703.05	Facility		$740.53	$931.66	$1,703.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,467.70 / $1,788.34 / $2,669.63	Professional		$1,467.70	$1,788.34	$2,669.63
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 $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00