Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.44 / $1,019.65 / $14,482.00	Facility		$488.44	$1,019.65	$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 $1,294.01 / $1,512.15 / $2,319.67	Facility		$1,294.01	$1,512.15	$2,319.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $488.44 / $732.66 / $1,269.94	Facility		$488.44	$732.66	$1,269.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $488.44 / $1,008.01 / $11,100.00	Facility		$488.44	$1,008.01	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $488.44 / $732.66 / $1,269.94	Facility		$488.44	$732.66	$1,269.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $978.25 / $1,191.96 / $1,779.36	Professional		$978.25	$1,191.96	$1,779.36
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