Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $702.47 / $6,461.00 / $16,287.59	Facility		$702.47	$6,461.00	$16,287.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10,193.86 / $10,193.86 / $10,193.86	Facility		$10,193.86	$10,193.86	$10,193.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,877.93 / $2,194.51 / $3,366.44	Facility		$1,877.93	$2,194.51	$3,366.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $702.47 / $942.00 / $1,648.08	Facility		$702.47	$942.00	$1,648.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $702.47 / $1,441.99 / $15,090.00	Facility		$702.47	$1,441.99	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $702.47 / $942.00 / $1,648.08	Facility		$702.47	$942.00	$1,648.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,437.15 / $1,751.11 / $2,614.07	Professional		$1,437.15	$1,751.11	$2,614.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,473.21 / $9,473.21 / $26,150.25	Facility		$9,473.21	$9,473.21	$26,150.25
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,478.67 / $2,478.67 / $2,478.67	Facility	AS	$2,478.67	$2,478.67	$2,478.67
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $12,447.00 / $17,450.00	Facility		$6,154.00	$12,447.00	$17,450.00