Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.29 / $1,034.75 / $14,482.00	Facility		$490.29	$1,034.75	$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 $1,305.72 / $1,525.84 / $2,340.67	Facility		$1,305.72	$1,525.84	$2,340.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $490.29 / $686.41 / $1,149.73	Facility		$490.29	$686.41	$1,149.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $490.29 / $980.40 / $8,296.28	Facility		$490.29	$980.40	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $490.29 / $686.41 / $1,149.73	Facility		$490.29	$686.41	$1,149.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $988.00 / $1,203.83 / $1,797.10	Professional		$988.00	$1,203.83	$1,797.10
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