Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.90 / $1,376.17 / $10,006.91	Facility		$484.90	$1,376.17	$10,006.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,560.77 / $7,560.77 / $7,560.77	Facility		$7,560.77	$7,560.77	$7,560.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,785.12 / $2,086.05 / $3,200.06	Facility		$1,785.12	$2,086.05	$3,200.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $486.13 / $737.90 / $1,376.17	Facility		$486.13	$737.90	$1,376.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $495.07 / $926.48 / $12,741.00	Facility		$495.07	$926.48	$12,741.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $486.13 / $737.90 / $1,376.17	Facility		$486.13	$737.90	$1,376.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,086.95 / $1,538.74 / $2,242.78	Professional		$1,086.95	$1,538.74	$2,242.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,314.96 / $2,314.96 / $7,213.88	Facility		$2,314.96	$2,314.96	$7,213.88
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $223.29 / $223.29 / $223.29	Facility	AS	$223.29	$223.29	$223.29
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00