Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.74 / $936.45 / $14,482.00	Facility		$437.74	$936.45	$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 $1,184.07 / $1,383.68 / $2,122.60	Facility		$1,184.07	$1,383.68	$2,122.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $437.74 / $656.61 / $1,056.00	Facility		$437.74	$656.61	$1,056.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $437.74 / $924.41 / $11,100.00	Facility		$437.74	$924.41	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $437.74 / $656.61 / $1,056.00	Facility		$437.74	$656.61	$1,056.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $896.35 / $1,092.17 / $1,630.39	Professional		$896.35	$1,092.17	$1,630.39
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