Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.83 / $1,871.19 / $6,023.42	Facility		$660.83	$1,871.19	$6,023.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,870.00 / $11,302.00 / $14,586.00	Facility		$7,870.00	$11,302.00	$14,586.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $691.88 / $830.26 / $1,079.24	Facility		$691.88	$830.26	$1,079.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,725.64 / $2,016.55 / $3,093.44	Facility		$1,725.64	$2,016.55	$3,093.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $660.83 / $991.25 / $1,785.00	Facility		$660.83	$991.25	$1,785.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $670.32 / $1,381.25 / $14,246.00	Facility		$670.32	$1,381.25	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $660.83 / $991.25 / $1,785.00	Facility		$660.83	$991.25	$1,785.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,416.13 / $1,726.56 / $2,577.41	Professional		$1,416.13	$1,726.56	$2,577.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,575.34 / $11,575.34 / $11,575.34	Facility		$11,575.34	$11,575.34	$11,575.34
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $2,062.56 / $2,062.56 / $2,062.56	Facility	62	$2,062.56	$2,062.56	$2,062.56
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $330.01 / $330.01 / $330.01	Facility	AS	$330.01	$330.01	$330.01
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00