Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.47 / $3,216.02 / $14,482.00	Facility		$855.47	$3,216.02	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,141.00 / $22,609.00	Facility		$10,878.00	$15,141.00	$22,609.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19,757.14 / $19,757.14 / $19,757.14	Facility		$19,757.14	$19,757.14	$19,757.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,280.73 / $2,665.22 / $4,088.51	Facility		$2,280.73	$2,665.22	$4,088.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $855.47 / $1,197.66 / $2,005.00	Facility		$855.47	$1,197.66	$2,005.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $855.47 / $1,763.55 / $15,090.00	Facility		$855.47	$1,763.55	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $855.47 / $1,197.66 / $2,005.00	Facility		$855.47	$1,197.66	$2,005.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,751.10 / $2,133.65 / $3,185.12	Professional		$1,751.10	$2,133.65	$3,185.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,800.77 / $17,800.77 / $49,137.95	Facility		$17,800.77	$17,800.77	$49,137.95
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $4,657.58 / $4,657.58 / $4,657.58	Facility	AS	$4,657.58	$4,657.58	$4,657.58
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00