Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.84 / $1,668.30 / $14,482.00	Facility		$467.84	$1,668.30	$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 $1,255.26 / $1,466.87 / $2,250.21	Facility		$1,255.26	$1,466.87	$2,250.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $467.84 / $675.17 / $1,216.38	Facility		$467.84	$675.17	$1,216.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $467.84 / $981.09 / $11,100.00	Facility		$467.84	$981.09	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $467.84 / $675.17 / $1,216.38	Facility		$467.84	$675.17	$1,216.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $960.70 / $1,170.58 / $1,747.44	Professional		$960.70	$1,170.58	$1,747.44
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