Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.10 / $2,631.00 / $6,461.00	Facility		$643.10	$2,631.00	$6,461.00
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 $1,719.34 / $2,009.18 / $3,082.14	Facility		$1,719.34	$2,009.18	$3,082.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $643.10 / $931.39 / $1,511.13	Facility		$643.10	$931.39	$1,511.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $643.10 / $1,340.68 / $11,100.00	Facility		$643.10	$1,340.68	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $643.10 / $931.39 / $1,511.13	Facility		$643.10	$931.39	$1,511.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,319.50 / $1,607.76 / $2,400.07	Professional		$1,319.50	$1,607.76	$2,400.07
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