Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.01 / $980.57 / $17,823.00	Facility		$264.01	$980.57	$17,823.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $13,743.77 / $21,606.00	Facility		$8,139.00	$13,743.77	$21,606.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,560.77 / $7,560.77 / $7,560.77	Facility		$7,560.77	$7,560.77	$7,560.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $693.86 / $810.83 / $1,243.83	Facility		$693.86	$810.83	$1,243.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $264.01 / $396.02 / $884.66	Facility		$264.01	$396.02	$884.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $268.54 / $583.46 / $11,598.00	Facility		$268.54	$583.46	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $264.01 / $396.02 / $884.66	Facility		$264.01	$396.02	$884.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $534.95 / $651.82 / $973.03	Professional		$534.95	$651.82	$973.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,887.52 / $1,887.52 / $1,887.52	Facility	AS	$1,887.52	$1,887.52	$1,887.52
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