Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.26 / $1,002.26 / $14,482.00	Facility		$474.26	$1,002.26	$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 $1,269.68 / $1,483.72 / $2,276.06	Facility		$1,269.68	$1,483.72	$2,276.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $471.55 / $607.78 / $1,005.43	Facility		$471.55	$607.78	$1,005.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $474.26 / $957.72 / $8,296.28	Facility		$474.26	$957.72	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $471.55 / $602.51 / $1,005.43	Facility		$471.55	$602.51	$1,005.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $970.45 / $1,182.46 / $1,765.17	Professional		$970.45	$1,182.46	$1,765.17
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 $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00