Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $881.43 / $1,843.00 / $14,482.00	Facility		$881.43	$1,843.00	$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 $2,351.02 / $2,747.36 / $4,214.51	Facility		$2,351.02	$2,747.36	$4,214.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $881.43 / $1,181.79 / $2,047.78	Facility		$881.43	$1,181.79	$2,047.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $881.43 / $1,724.75 / $11,100.00	Facility		$881.43	$1,724.75	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $881.43 / $1,181.79 / $2,047.78	Facility		$881.43	$1,181.79	$2,047.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,785.55 / $2,175.62 / $3,247.78	Professional		$1,785.55	$2,175.62	$3,247.78
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