Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.61 / $2,475.21 / $14,482.00	Facility		$655.61	$2,475.21	$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 $10,019.51 / $10,019.51 / $10,019.51	Facility		$10,019.51	$10,019.51	$10,019.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,758.99 / $2,055.51 / $3,153.21	Facility		$1,758.99	$2,055.51	$3,153.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $655.61 / $942.00 / $1,543.15	Facility		$655.61	$942.00	$1,543.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $655.61 / $1,338.58 / $15,090.00	Facility		$655.61	$1,338.58	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $655.61 / $942.00 / $1,543.15	Facility		$655.61	$942.00	$1,543.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,343.55 / $1,637.06 / $2,443.81	Professional		$1,343.55	$1,637.06	$2,443.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,180.07 / $9,180.07 / $25,341.00	Facility		$9,180.07	$9,180.07	$25,341.00
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,401.96 / $2,401.96 / $2,401.96	Facility	AS	$2,401.96	$2,401.96	$2,401.96
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