Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.32 / $1,894.00 / $14,208.43	Facility		$692.32	$1,894.00	$14,208.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,842.00 / $6,842.00 / $7,870.00	Facility		$6,842.00	$6,842.00	$7,870.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $718.03 / $861.64 / $1,116.66	Facility		$718.03	$861.64	$1,116.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,808.55 / $2,113.42 / $3,242.06	Facility		$1,808.55	$2,113.42	$3,242.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $692.32 / $1,027.43 / $1,800.03	Facility		$692.32	$1,027.43	$1,800.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $702.30 / $1,209.00 / $2,090.40	Facility		$702.30	$1,209.00	$2,090.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $692.32 / $1,027.43 / $1,800.03	Facility		$692.32	$1,027.43	$1,800.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,470.69 / $1,793.09 / $2,676.73	Professional		$1,470.69	$1,793.09	$2,676.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,069.26 / $12,069.26 / $12,069.26	Facility		$12,069.26	$12,069.26	$12,069.26
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $2,142.04 / $2,142.04 / $2,142.04	Facility	62	$2,142.04	$2,142.04	$2,142.04
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $342.73 / $342.73 / $342.73	Facility	AS	$342.73	$342.73	$342.73
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