Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.88 / $2,570.65 / $17,823.00	Facility		$0.88	$2,570.65	$17,823.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $6,787.00 / $10,517.23	Facility		$1,979.00	$6,787.00	$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 $1,869.82 / $2,185.04 / $3,351.90	Facility		$1,869.82	$2,185.04	$3,351.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $698.31 / $961.59 / $1,602.65	Facility		$698.31	$961.59	$1,602.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $698.31 / $1,358.86 / $6,150.00	Facility		$698.31	$1,358.86	$6,150.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $698.31 / $961.59 / $1,602.65	Facility		$698.31	$961.59	$1,602.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,379.95 / $1,681.42 / $2,510.02	Professional		$1,379.95	$1,681.42	$2,510.02
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 $2,723.00 / $3,912.00 / $5,865.00	Facility		$2,723.00	$3,912.00	$5,865.00