Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $664.18 / $1,405.31 / $14,482.00	Facility		$664.18	$1,405.31	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $16,493.00 / $23,358.00	Facility		$12,080.00	$16,493.00	$23,358.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22,618.25 / $22,618.25 / $22,618.25	Facility		$22,618.25	$22,618.25	$22,618.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,772.50 / $2,071.31 / $3,177.44	Facility		$1,772.50	$2,071.31	$3,177.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $664.18 / $980.00 / $1,561.45	Facility		$664.18	$980.00	$1,561.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $664.18 / $1,366.03 / $19,562.00	Facility		$664.18	$1,366.03	$19,562.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $664.18 / $980.00 / $1,561.45	Facility		$664.18	$980.00	$1,561.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,361.10 / $1,658.45 / $2,475.73	Professional		$1,361.10	$1,658.45	$2,475.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,722.31 / $19,722.31 / $54,442.25	Facility		$19,722.31	$19,722.31	$54,442.25
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $5,160.35 / $5,160.35 / $5,160.35	Facility	AS	$5,160.35	$5,160.35	$5,160.35
United Facility/Professional Facility Modifier Low / Median / High Price $7,775.00 / $14,249.00 / $19,562.00	Facility		$7,775.00	$14,249.00	$19,562.00