Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.07 / $1,265.94 / $3,119.00	Facility		$411.07	$1,265.94	$3,119.00
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 $1,632.83 / $1,908.09 / $2,927.06	Facility		$1,632.83	$1,908.09	$2,927.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $419.05 / $674.35 / $1,265.94	Facility		$419.05	$674.35	$1,265.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $428.07 / $828.45 / $7,160.00	Facility		$428.07	$828.45	$7,160.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $419.05 / $674.10 / $1,265.94	Facility		$419.05	$674.10	$1,265.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $978.42 / $1,408.29 / $2,074.15	Professional		$978.42	$1,408.29	$2,074.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,978.80 / $1,978.80 / $3,244.77	Facility		$1,978.80	$1,978.80	$3,244.77
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $194.23 / $194.23 / $194.23	Facility	AS	$194.23	$194.23	$194.23
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