Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.75 / $1,670.65 / $14,482.00	Facility		$787.75	$1,670.65	$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 $2,112.23 / $2,468.30 / $3,786.44	Facility		$2,112.23	$2,468.30	$3,786.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $787.75 / $1,102.84 / $1,740.93	Facility		$787.75	$1,102.84	$1,740.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $787.75 / $1,613.47 / $14,246.00	Facility		$787.75	$1,613.47	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $787.75 / $1,086.27 / $1,740.93	Facility		$787.75	$1,086.27	$1,740.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,620.45 / $1,974.46 / $2,947.47	Professional		$1,620.45	$1,974.46	$2,947.47
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 $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00