Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.92 / $1,267.13 / $14,482.00	Facility		$602.92	$1,267.13	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $13,743.77 / $21,606.00	Facility		$8,139.00	$13,743.77	$21,606.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,560.77 / $7,560.77 / $7,560.77	Facility		$7,560.77	$7,560.77	$7,560.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,608.50 / $1,879.66 / $2,883.44	Facility		$1,608.50	$1,879.66	$2,883.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $602.92 / $832.10 / $1,332.48	Facility		$602.92	$832.10	$1,332.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.92 / $1,210.82 / $11,598.00	Facility		$602.92	$1,210.82	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $602.92 / $832.10 / $1,332.48	Facility		$602.92	$832.10	$1,332.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,222.65 / $1,489.75 / $2,223.91	Professional		$1,222.65	$1,489.75	$2,223.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,887.52 / $1,887.52 / $1,887.52	Facility	AS	$1,887.52	$1,887.52	$1,887.52
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,837.00 / $12,631.00	Facility		$4,240.00	$9,837.00	$12,631.00