Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.88 / $1,043.05 / $14,482.00	Facility		$492.88	$1,043.05	$14,482.00
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 $1,319.24 / $1,541.64 / $2,364.91	Facility		$1,319.24	$1,541.64	$2,364.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $463.58 / $593.38 / $1,158.95	Facility		$463.58	$593.38	$1,158.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $463.58 / $1,010.33 / $11,598.00	Facility		$463.58	$1,010.33	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $463.58 / $593.38 / $1,158.95	Facility		$463.58	$593.38	$1,158.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,006.20 / $1,226.02 / $1,830.20	Professional		$1,006.20	$1,226.02	$1,830.20
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 $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00