Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.97 / $1,483.09 / $14,482.00	Facility		$705.97	$1,483.09	$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 $2,971.90 / $2,971.90 / $2,971.90	Facility		$2,971.90	$2,971.90	$2,971.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,866.22 / $2,180.83 / $3,345.44	Facility		$1,866.22	$2,180.83	$3,345.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $705.97 / $983.34 / $1,560.19	Facility		$705.97	$983.34	$1,560.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $705.97 / $1,483.09 / $8,103.00	Facility		$705.97	$1,483.09	$8,103.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $705.97 / $983.34 / $1,560.19	Facility		$705.97	$983.34	$1,560.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,452.75 / $1,770.12 / $2,642.44	Professional		$1,452.75	$1,770.12	$2,642.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,469.60 / $2,469.60 / $6,817.20	Facility		$2,469.60	$2,469.60	$6,817.20
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $646.16 / $646.16 / $646.16	Facility	AS	$646.16	$646.16	$646.16
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00