Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.48 / $1,246.18 / $14,482.00	Facility		$587.48	$1,246.18	$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 $1,564.34 / $1,828.06 / $2,804.29	Facility		$1,564.34	$1,828.06	$2,804.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $587.48 / $779.08 / $1,384.65	Facility		$587.48	$779.08	$1,384.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $587.48 / $1,235.51 / $5,639.00	Facility		$587.48	$1,235.51	$5,639.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $587.48 / $779.08 / $1,384.65	Facility		$587.48	$779.08	$1,384.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,220.05 / $1,486.58 / $2,219.17	Professional		$1,220.05	$1,486.58	$2,219.17
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 $2,883.00 / $3,827.00 / $6,564.00	Facility		$2,883.00	$3,827.00	$6,564.00