Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $822.18 / $1,746.34 / $6,461.00	Facility		$822.18	$1,746.34	$6,461.00
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 $2,827.71 / $3,304.41 / $5,069.05	Facility		$2,827.71	$3,304.41	$5,069.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $822.18 / $1,228.32 / $2,206.04	Facility		$822.18	$1,228.32	$2,206.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $842.39 / $1,404.26 / $7,160.00	Facility		$842.39	$1,404.26	$7,160.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $822.18 / $1,228.32 / $2,206.04	Facility		$822.18	$1,228.32	$2,206.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,861.61 / $2,550.23 / $3,619.92	Professional		$1,861.61	$2,550.23	$3,619.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,244.77 / $3,244.77 / $3,954.20	Facility		$3,244.77	$3,244.77	$3,954.20
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $387.54 / $387.54 / $387.54	Facility	AS	$387.54	$387.54	$387.54
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