Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.26 / $1,299.86 / $14,482.00	Facility		$613.26	$1,299.86	$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 $1,646.35 / $1,923.89 / $2,951.29	Facility		$1,646.35	$1,923.89	$2,951.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $613.26 / $883.87 / $1,444.30	Facility		$613.26	$883.87	$1,444.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $613.26 / $1,242.69 / $15,090.00	Facility		$613.26	$1,242.69	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $613.26 / $883.87 / $1,444.30	Facility		$613.26	$883.87	$1,444.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,255.80 / $1,530.14 / $2,284.19	Professional		$1,255.80	$1,530.14	$2,284.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,097.92 / $9,097.92 / $25,114.25	Facility		$9,097.92	$9,097.92	$25,114.25
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,380.48 / $2,380.48 / $2,380.48	Facility	AS	$2,380.48	$2,380.48	$2,380.48
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