Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $639.79 / $6,461.00 / $18,777.89	Facility		$639.79	$6,461.00	$18,777.89
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 $9,789.65 / $9,789.65 / $9,789.65	Facility		$9,789.65	$9,789.65	$9,789.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,716.63 / $2,006.02 / $3,077.29	Facility		$1,716.63	$2,006.02	$3,077.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $639.79 / $902.52 / $1,504.20	Facility		$639.79	$902.52	$1,504.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $639.79 / $1,306.03 / $15,090.00	Facility		$639.79	$1,306.03	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $639.79 / $902.52 / $1,504.20	Facility		$639.79	$902.52	$1,504.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,309.09 / $1,595.09 / $2,381.15	Professional		$1,309.09	$1,595.09	$2,381.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,271.56 / $9,271.56 / $25,593.60	Facility		$9,271.56	$9,271.56	$25,593.60
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,425.91 / $2,425.91 / $2,425.91	Facility	AS	$2,425.91	$2,425.91	$2,425.91
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