Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.95 / $2,623.15 / $9,384.51	Facility		$413.95	$2,623.15	$9,384.51
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 $1,613.91 / $1,885.98 / $2,893.14	Facility		$1,613.91	$1,885.98	$2,893.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $418.10 / $669.40 / $1,252.24	Facility		$418.10	$669.40	$1,252.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $431.46 / $806.26 / $7,160.00	Facility		$431.46	$806.26	$7,160.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $418.10 / $669.40 / $1,252.24	Facility		$418.10	$669.40	$1,252.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $984.96 / $1,404.18 / $2,050.54	Professional		$984.96	$1,404.18	$2,050.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,003.24 / $2,003.24 / $3,244.77	Facility		$2,003.24	$2,003.24	$3,244.77
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $196.49 / $196.49 / $196.49	Facility	AS	$196.49	$196.49	$196.49
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