Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.36 / $2,273.98 / $19,214.50	Facility		$603.36	$2,273.98	$19,214.50
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 $1,614.81 / $1,887.03 / $2,894.75	Facility		$1,614.81	$1,887.03	$2,894.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $603.36 / $873.05 / $1,571.57	Facility		$603.36	$873.05	$1,571.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $603.36 / $1,258.74 / $11,100.00	Facility		$603.36	$1,258.74	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $603.36 / $873.05 / $1,571.57	Facility		$603.36	$873.05	$1,571.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,236.30 / $1,506.38 / $2,248.73	Professional		$1,236.30	$1,506.38	$2,248.73
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