Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.64 / $4,692.14 / $14,866.12	Facility		$550.64	$4,692.14	$14,866.12
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 $1,466.12 / $1,713.28 / $2,628.22	Facility		$1,466.12	$1,713.28	$2,628.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $550.64 / $825.96 / $1,431.66	Facility		$550.64	$825.96	$1,431.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $550.64 / $1,160.39 / $10,843.00	Facility		$550.64	$1,160.39	$10,843.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $550.64 / $825.96 / $1,431.66	Facility		$550.64	$825.96	$1,431.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,110.84 / $1,353.53 / $2,020.55	Professional		$1,110.84	$1,353.53	$2,020.55
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