Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.85 / $1,317.15 / $14,482.00	Facility		$620.85	$1,317.15	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10,840.74 / $10,840.74 / $10,840.74	Facility		$10,840.74	$10,840.74	$10,840.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.37 / $1,944.95 / $2,983.60	Facility		$1,664.37	$1,944.95	$2,983.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $620.85 / $893.39 / $1,463.50	Facility		$620.85	$893.39	$1,463.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $620.85 / $1,245.21 / $13,250.00	Facility		$620.85	$1,245.21	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $620.85 / $893.39 / $1,463.50	Facility		$620.85	$893.39	$1,463.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,270.09 / $1,547.57 / $2,310.21	Professional		$1,270.09	$1,547.57	$2,310.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,968.66 / $9,968.66 / $27,517.90	Facility		$9,968.66	$9,968.66	$27,517.90
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,608.31 / $2,608.31 / $2,608.31	Facility	AS	$2,608.31	$2,608.31	$2,608.31
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00