Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.93 / $1,331.24 / $6,980.54	Facility		$348.93	$1,331.24	$6,980.54
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 $1,405.75 / $1,642.73 / $2,519.98	Facility		$1,405.75	$1,642.73	$2,519.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $348.93 / $563.87 / $1,091.03	Facility		$348.93	$563.87	$1,091.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $680.08 / $7,160.00	Facility		$363.08	$680.08	$7,160.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $348.93 / $563.87 / $1,091.03	Facility		$348.93	$563.87	$1,091.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $831.23 / $1,208.11 / $1,780.73	Professional		$831.23	$1,208.11	$1,780.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,682.60 / $1,682.60 / $3,244.77	Facility		$1,682.60	$1,682.60	$3,244.77
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $165.01 / $165.01 / $165.01	Facility	AS	$165.01	$165.01	$165.01
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00