Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.38 / $1,826.07 / $14,482.00	Facility		$482.38	$1,826.07	$14,482.00
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 $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 $1,288.59 / $1,505.83 / $2,309.98	Facility		$1,288.59	$1,505.83	$2,309.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $482.38 / $702.37 / $1,365.00	Facility		$482.38	$702.37	$1,365.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $482.38 / $1,012.18 / $11,100.00	Facility		$482.38	$1,012.18	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $482.38 / $702.37 / $1,365.00	Facility		$482.38	$702.37	$1,365.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $990.60 / $1,207.01 / $1,801.83	Professional		$990.60	$1,207.01	$1,801.83
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 $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00