Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $566.89 / $1,612.82 / $8,243.00	Facility		$566.89	$1,612.82	$8,243.00
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 $10,254.37 / $10,254.37 / $10,254.37	Facility		$10,254.37	$10,254.37	$10,254.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,083.39 / $2,434.61 / $3,734.75	Facility		$2,083.39	$2,434.61	$3,734.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $566.89 / $850.34 / $1,612.82	Facility		$566.89	$850.34	$1,612.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $575.16 / $1,015.21 / $7,318.00	Facility		$575.16	$1,015.21	$7,318.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $566.89 / $850.34 / $1,612.82	Facility		$566.89	$850.34	$1,612.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,285.33 / $1,821.04 / $2,654.24	Professional		$1,285.33	$1,821.04	$2,654.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,732.72 / $2,732.72 / $9,826.14	Facility		$2,732.72	$2,732.72	$9,826.14
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $266.74 / $266.74 / $266.74	Facility	AS	$266.74	$266.74	$266.74
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