Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.99 / $1,327.59 / $14,482.00	Facility		$355.99	$1,327.59	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,159.00 / $11,302.00 / $14,586.00	Facility		$6,159.00	$11,302.00	$14,586.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $373.22 / $447.86 / $582.21	Facility		$373.22	$447.86	$582.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $929.96 / $1,086.73 / $1,667.07	Facility		$929.96	$1,086.73	$1,667.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $355.99 / $533.99 / $903.79	Facility		$355.99	$533.99	$903.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $361.12 / $722.74 / $1,756.00	Facility		$361.12	$722.74	$1,756.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $355.99 / $533.99 / $903.79	Facility		$355.99	$533.99	$903.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $763.93 / $931.39 / $1,390.38	Professional		$763.93	$931.39	$1,390.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,236.72 / $6,236.72 / $6,236.72	Facility		$6,236.72	$6,236.72	$6,236.72
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $1,112.64 / $1,112.64 / $1,112.64	Facility	62	$1,112.64	$1,112.64	$1,112.64
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $178.02 / $178.02 / $178.02	Facility	AS	$178.02	$178.02	$178.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90