Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $593.94 / $1,258.35 / $14,482.00	Facility		$593.94	$1,258.35	$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 $1,587.77 / $1,855.44 / $2,846.29	Facility		$1,587.77	$1,855.44	$2,846.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $593.94 / $850.13 / $1,312.61	Facility		$593.94	$850.13	$1,312.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $593.94 / $1,211.07 / $11,100.00	Facility		$593.94	$1,211.07	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $593.94 / $850.13 / $1,312.61	Facility		$593.94	$850.13	$1,312.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,220.70 / $1,487.38 / $2,220.36	Professional		$1,220.70	$1,487.38	$2,220.36
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 $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00