Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.27 / $1,210.52 / $14,482.00	Facility		$574.27	$1,210.52	$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 $1,533.71 / $1,792.26 / $2,749.37	Facility		$1,533.71	$1,792.26	$2,749.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $574.27 / $828.00 / $1,345.03	Facility		$574.27	$828.00	$1,345.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $574.27 / $1,195.29 / $15,090.00	Facility		$574.27	$1,195.29	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $574.27 / $828.00 / $1,345.03	Facility		$574.27	$828.00	$1,345.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,171.95 / $1,427.98 / $2,131.69	Professional		$1,171.95	$1,427.98	$2,131.69
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 $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00