Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.44 / $1,483.54 / $14,482.00	Facility		$699.44	$1,483.54	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,350.67 / $4,350.67 / $4,350.67	Facility		$4,350.67	$4,350.67	$4,350.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,877.93 / $2,194.51 / $3,366.44	Facility		$1,877.93	$2,194.51	$3,366.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $659.35 / $900.00 / $1,545.76	Facility		$659.35	$900.00	$1,545.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $659.35 / $1,417.60 / $11,100.00	Facility		$659.35	$1,417.60	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $659.35 / $900.00 / $1,545.76	Facility		$659.35	$900.00	$1,545.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,419.60 / $1,729.73 / $2,582.14	Professional		$1,419.60	$1,729.73	$2,582.14
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 $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00