Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.49 / $4,208.04 / $14,482.00	Facility		$572.49	$4,208.04	$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 $1,530.10 / $1,788.04 / $2,742.91	Facility		$1,530.10	$1,788.04	$2,742.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $572.49 / $839.38 / $1,343.92	Facility		$572.49	$839.38	$1,343.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $572.49 / $1,193.11 / $14,246.00	Facility		$572.49	$1,193.11	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $572.49 / $839.38 / $1,343.92	Facility		$572.49	$839.38	$1,343.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,170.65 / $1,426.39 / $2,129.32	Professional		$1,170.65	$1,426.39	$2,129.32
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