Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.78 / $7,751.45 / $11,979.30	Facility		$512.78	$7,751.45	$11,979.30
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 $1,371.50 / $1,602.71 / $2,458.60	Facility		$1,371.50	$1,602.71	$2,458.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $512.78 / $741.01 / $1,333.23	Facility		$512.78	$741.01	$1,333.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.78 / $1,071.36 / $11,100.00	Facility		$512.78	$1,071.36	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $512.78 / $741.01 / $1,333.23	Facility		$512.78	$741.01	$1,333.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,047.15 / $1,275.91 / $1,904.69	Professional		$1,047.15	$1,275.91	$1,904.69
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