Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.67 / $1,014.73 / $14,482.00	Facility		$476.67	$1,014.73	$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 $1,283.19 / $1,499.51 / $2,300.29	Facility		$1,283.19	$1,499.51	$2,300.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $476.67 / $686.97 / $1,127.48	Facility		$476.67	$686.97	$1,127.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $476.67 / $969.63 / $8,296.28	Facility		$476.67	$969.63	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $476.67 / $686.97 / $1,127.48	Facility		$476.67	$686.97	$1,127.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $981.50 / $1,195.92 / $1,785.27	Professional		$981.50	$1,195.92	$1,785.27
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