Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.34 / $2,657.31 / $14,482.00	Facility		$704.34	$2,657.31	$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 $1,883.34 / $2,200.83 / $3,376.13	Facility		$1,883.34	$2,200.83	$3,376.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $692.48 / $909.56 / $1,656.68	Facility		$692.48	$909.56	$1,656.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $704.34 / $1,439.65 / $15,090.00	Facility		$704.34	$1,439.65	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $692.48 / $909.56 / $1,656.68	Facility		$692.48	$909.56	$1,656.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,439.75 / $1,754.28 / $2,618.79	Professional		$1,439.75	$1,754.28	$2,618.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,887.52 / $1,887.52 / $1,887.52	Facility	AS	$1,887.52	$1,887.52	$1,887.52
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