Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.63 / $3,012.37 / $14,482.00	Facility		$364.63	$3,012.37	$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 $978.62 / $1,143.58 / $1,754.30	Facility		$978.62	$1,143.58	$1,754.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $364.63 / $546.95 / $861.53	Facility		$364.63	$546.95	$861.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $364.63 / $765.51 / $8,296.28	Facility		$364.63	$765.51	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $364.63 / $546.95 / $861.53	Facility		$364.63	$546.95	$861.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $739.70 / $901.30 / $1,345.46	Professional		$739.70	$901.30	$1,345.46
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 $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00