Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.02 / $1,224.05 / $14,482.00	Facility		$579.02	$1,224.05	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,408.00 / $14,586.00	Facility		$5,169.00	$8,408.00	$14,586.00
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 $1,545.42 / $1,805.95 / $2,770.37	Facility		$1,545.42	$1,805.95	$2,770.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $579.02 / $848.40 / $1,360.05	Facility		$579.02	$848.40	$1,360.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $579.02 / $1,207.84 / $14,246.00	Facility		$579.02	$1,207.84	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $579.02 / $840.52 / $1,360.05	Facility		$579.02	$840.52	$1,360.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,185.59 / $1,444.61 / $2,156.52	Professional		$1,185.59	$1,444.61	$2,156.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,244.77 / $3,244.77 / $8,957.00	Facility		$3,244.77	$3,244.77	$8,957.00
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $849.00 / $849.00 / $849.00	Facility	AS	$849.00	$849.00	$849.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00