Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.90 / $1,472.04 / $7,270.80	Facility		$359.90	$1,472.04	$7,270.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $11,302.00 / $14,586.00	Facility		$10,878.00	$11,302.00	$14,586.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $378.04 / $453.65 / $590.10	Facility		$378.04	$453.65	$590.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $940.77 / $1,099.35 / $1,686.45	Facility		$940.77	$1,099.35	$1,686.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $359.90 / $503.86 / $837.63	Facility		$359.90	$503.86	$837.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $365.07 / $753.28 / $15,743.00	Facility		$365.07	$753.28	$15,743.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $359.90 / $503.86 / $837.63	Facility		$359.90	$503.86	$837.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $773.67 / $943.27 / $1,408.12	Professional		$773.67	$943.27	$1,408.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,313.44 / $6,313.44 / $6,313.44	Facility		$6,313.44	$6,313.44	$6,313.44
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $1,126.85 / $1,126.85 / $1,126.85	Facility	62	$1,126.85	$1,126.85	$1,126.85
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $180.30 / $180.30 / $180.30	Facility	AS	$180.30	$180.30	$180.30
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,991.00 / $27,414.00	Facility		$7,301.00	$11,991.00	$27,414.00