Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $545.21 / $1,163.45 / $14,482.00	Facility		$545.21	$1,163.45	$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 $1,460.72 / $1,706.96 / $2,618.52	Facility		$1,460.72	$1,706.96	$2,618.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $545.21 / $763.29 / $1,204.91	Facility		$545.21	$763.29	$1,204.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $545.21 / $1,105.47 / $11,598.00	Facility		$545.21	$1,105.47	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $545.21 / $756.00 / $1,204.91	Facility		$545.21	$756.00	$1,204.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,136.84 / $1,385.21 / $2,067.84	Professional		$1,136.84	$1,385.21	$2,067.84
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