Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.45 / $1,414.82 / $14,482.00	Facility		$669.45	$1,414.82	$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 $1,788.72 / $2,090.26 / $3,206.52	Facility		$1,788.72	$2,090.26	$3,206.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $669.45 / $966.83 / $1,740.57	Facility		$669.45	$966.83	$1,740.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $669.45 / $1,395.46 / $11,100.00	Facility		$669.45	$1,395.46	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $669.45 / $966.83 / $1,740.57	Facility		$669.45	$966.83	$1,740.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,373.45 / $1,673.50 / $2,498.19	Professional		$1,373.45	$1,673.50	$2,498.19
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