Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $580.46 / $1,228.16 / $14,482.00	Facility		$580.46	$1,228.16	$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 $1,556.23 / $1,818.58 / $2,789.75	Facility		$1,556.23	$1,818.58	$2,789.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $580.46 / $850.85 / $1,509.20	Facility		$580.46	$850.85	$1,509.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $580.46 / $1,212.21 / $11,100.00	Facility		$580.46	$1,212.21	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $580.46 / $850.85 / $1,509.20	Facility		$580.46	$850.85	$1,509.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,188.20 / $1,447.78 / $2,161.23	Professional		$1,188.20	$1,447.78	$2,161.23
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 $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00