Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $924.69 / $2,728.10 / $8,735.70	Facility		$924.69	$2,728.10	$8,735.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $644.88 / $813.83 / $3,462.54	Facility		$644.88	$813.83	$3,462.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,766.20 / $2,063.94 / $3,166.14	Facility		$1,766.20	$2,063.94	$3,166.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $660.50 / $924.70 / $1,549.00	Facility		$660.50	$924.70	$1,549.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.50 / $1,375.70 / $13,982.00	Facility		$660.50	$1,375.70	$13,982.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $660.50 / $924.70 / $1,549.00	Facility		$660.50	$924.70	$1,549.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,350.05 / $1,644.98 / $2,455.64	Professional		$1,350.05	$1,644.98	$2,455.64
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 $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00