Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.71 / $1,678.45 / $14,482.00	Facility		$795.71	$1,678.45	$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 $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 $2,114.03 / $2,470.41 / $3,789.67	Facility		$2,114.03	$2,470.41	$3,789.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $795.71 / $1,022.89 / $1,737.08	Facility		$795.71	$1,022.89	$1,737.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $795.71 / $1,603.86 / $11,100.00	Facility		$795.71	$1,603.86	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $795.71 / $1,020.50 / $1,737.08	Facility		$795.71	$1,020.50	$1,737.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,630.20 / $1,986.34 / $2,965.21	Professional		$1,630.20	$1,986.34	$2,965.21
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