Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $734.03 / $1,548.20 / $14,482.00	Facility		$734.03	$1,548.20	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,408.00 / $12,444.00	Facility		$5,169.00	$8,408.00	$12,444.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,462.54 / $3,462.54 / $3,462.54	Facility		$3,462.54	$3,462.54	$3,462.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,958.13 / $2,288.23 / $3,510.21	Facility		$1,958.13	$2,288.23	$3,510.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $734.03 / $1,101.05 / $1,720.23	Facility		$734.03	$1,101.05	$1,720.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $734.03 / $1,516.03 / $11,598.00	Facility		$734.03	$1,516.03	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $734.03 / $1,101.05 / $1,720.23	Facility		$734.03	$1,101.05	$1,720.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,504.75 / $1,833.48 / $2,737.02	Professional		$1,504.75	$1,833.48	$2,737.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,913.50 / $19,913.50 / $19,913.50	Facility		$19,913.50	$19,913.50	$19,913.50
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,955.22 / $1,955.22 / $1,955.22	Facility	AS	$1,955.22	$1,955.22	$1,955.22
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00