Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $477.18 / $1,801.05 / $14,482.00	Facility		$477.18	$1,801.05	$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 $1,287.70 / $1,504.78 / $2,308.37	Facility		$1,287.70	$1,504.78	$2,308.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $477.18 / $659.12 / $1,122.84	Facility		$477.18	$659.12	$1,122.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $477.18 / $965.65 / $8,296.28	Facility		$477.18	$965.65	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $477.18 / $659.12 / $1,122.84	Facility		$477.18	$659.12	$1,122.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $971.10 / $1,183.25 / $1,766.36	Professional		$971.10	$1,183.25	$1,766.36
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 $4,614.00 / $7,495.00 / $9,134.00	Facility		$4,614.00	$7,495.00	$9,134.00