Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.00 / $1,827.96 / $14,482.00	Facility		$485.00	$1,827.96	$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 $1,300.32 / $1,519.52 / $2,330.98	Facility		$1,300.32	$1,519.52	$2,330.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $485.00 / $706.74 / $1,261.00	Facility		$485.00	$706.74	$1,261.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $485.00 / $1,012.95 / $11,100.00	Facility		$485.00	$1,012.95	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $485.00 / $706.74 / $1,261.00	Facility		$485.00	$706.74	$1,261.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $993.20 / $1,210.18 / $1,806.55	Professional		$993.20	$1,210.18	$1,806.55
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