Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.12 / $1,113.41 / $8,905.04	Facility		$523.12	$1,113.41	$8,905.04
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 $1,932.00 / $2,257.69 / $3,463.36	Facility		$1,932.00	$2,257.69	$3,463.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $533.80 / $791.81 / $1,474.64	Facility		$533.80	$791.81	$1,474.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $540.77 / $936.66 / $7,160.00	Facility		$540.77	$936.66	$7,160.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $533.80 / $791.81 / $1,474.64	Facility		$533.80	$791.81	$1,474.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,178.64 / $1,676.62 / $2,439.51	Professional		$1,178.64	$1,676.62	$2,439.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,554.52 / $2,554.52 / $3,244.77	Facility		$2,554.52	$2,554.52	$3,244.77
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $247.81 / $247.81 / $247.81	Facility	AS	$247.81	$247.81	$247.81
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