Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.38 / $778.23 / $14,482.00	Facility		$482.38	$778.23	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $385.71 / $600.91 / $600.91	Facility		$385.71	$600.91	$600.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $966.90 / $1,129.90 / $1,822.49	Facility		$966.90	$1,129.90	$1,822.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $380.47 / $605.87 / $1,226.33	Facility		$380.47	$605.87	$1,226.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $415.06 / $2,429.00 / $7,700.00	Facility		$415.06	$2,429.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $380.47 / $605.87 / $1,226.33	Facility		$380.47	$605.87	$1,226.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $783.90 / $1,210.46 / $1,576.37	Professional		$783.90	$1,210.46	$1,576.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,082.75 / $2,082.75 / $2,082.75	Facility		$2,082.75	$2,082.75	$2,082.75
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $182.57 / $182.57 / $182.57	Facility	AS	$182.57	$182.57	$182.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00