Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.39 / $1,454.35 / $14,482.00	Facility		$695.39	$1,454.35	$14,482.00
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 $727.26 / $872.71 / $1,133.66	Facility		$727.26	$872.71	$1,133.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,816.66 / $2,122.91 / $3,256.60	Facility		$1,816.66	$2,122.91	$3,256.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $695.39 / $1,043.08 / $1,890.00	Facility		$695.39	$1,043.08	$1,890.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $705.42 / $1,215.00 / $2,043.20	Facility		$705.42	$1,215.00	$2,043.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $695.39 / $1,043.08 / $1,890.00	Facility		$695.39	$1,043.08	$1,890.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,488.88 / $1,815.26 / $2,709.83	Professional		$1,488.88	$1,815.26	$2,709.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,164.88 / $12,164.88 / $12,164.88	Facility		$12,164.88	$12,164.88	$12,164.88
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $2,168.54 / $2,168.54 / $2,168.54	Facility	62	$2,168.54	$2,168.54	$2,168.54
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $346.97 / $346.97 / $346.97	Facility	AS	$346.97	$346.97	$346.97
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