Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $560.76 / $2,106.44 / $14,482.00	Facility		$560.76	$2,106.44	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,287.00 / $13,743.77 / $21,606.00	Facility		$9,287.00	$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 $1,497.66 / $1,750.14 / $2,684.75	Facility		$1,497.66	$1,750.14	$2,684.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $560.76 / $809.33 / $1,408.00	Facility		$560.76	$809.33	$1,408.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $560.76 / $1,166.57 / $15,090.00	Facility		$560.76	$1,166.57	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $560.76 / $809.33 / $1,408.00	Facility		$560.76	$809.33	$1,408.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,143.34 / $1,393.13 / $2,079.67	Professional		$1,143.34	$1,393.13	$2,079.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,384.84 / $9,384.84 / $25,906.30	Facility		$9,384.84	$9,384.84	$25,906.30
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,455.55 / $2,455.55 / $2,455.55	Facility	AS	$2,455.55	$2,455.55	$2,455.55
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00