Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.60 / $1,505.00 / $14,482.00	Facility		$712.60	$1,505.00	$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 $1,903.17 / $2,224.00 / $3,411.67	Facility		$1,903.17	$2,224.00	$3,411.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $712.60 / $1,030.06 / $1,672.23	Facility		$712.60	$1,030.06	$1,672.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $712.60 / $1,468.61 / $11,100.00	Facility		$712.60	$1,468.61	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $712.60 / $1,030.06 / $1,672.23	Facility		$712.60	$1,030.06	$1,672.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,461.20 / $1,780.42 / $2,657.81	Professional		$1,461.20	$1,780.42	$2,657.81
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 $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00