Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $827.05 / $3,067.69 / $14,482.00	Facility		$827.05	$3,067.69	$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 $2,215.85 / $2,589.40 / $3,972.21	Facility		$2,215.85	$2,589.40	$3,972.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $827.05 / $1,147.52 / $1,912.53	Facility		$827.05	$1,147.52	$1,912.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $827.05 / $1,553.63 / $11,100.00	Facility		$827.05	$1,553.63	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $827.05 / $1,147.52 / $1,912.53	Facility		$827.05	$1,147.52	$1,912.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,650.35 / $2,010.89 / $3,001.86	Professional		$1,650.35	$2,010.89	$3,001.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,193.57 / $4,193.57 / $11,576.10	Facility		$4,193.57	$4,193.57	$11,576.10
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,097.25 / $1,097.25 / $1,097.25	Facility	AS	$1,097.25	$1,097.25	$1,097.25
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