Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.60 / $897.62 / $14,482.00	Facility		$427.60	$897.62	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,019.00	Facility		$13,123.00	$18,187.00	$24,019.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34,708.12 / $34,708.12 / $34,708.12	Facility		$34,708.12	$34,708.12	$34,708.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,139.92 / $1,332.08 / $2,043.45	Facility		$1,139.92	$1,332.08	$2,043.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $422.98 / $598.41 / $945.00	Facility		$422.98	$598.41	$945.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $427.60 / $897.62 / $15,090.00	Facility		$427.60	$897.62	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $422.98 / $598.41 / $945.00	Facility		$422.98	$598.41	$945.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $845.65 / $1,030.39 / $1,590.61	Professional		$845.65	$1,030.39	$1,590.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22,350.55 / $22,350.55 / $61,697.35	Facility		$22,350.55	$22,350.55	$61,697.35
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $5,848.03 / $5,848.03 / $5,848.03	Facility	AS	$5,848.03	$5,848.03	$5,848.03
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