Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.02 / $1,545.10 / $14,482.00	Facility		$749.02	$1,545.10	$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 $10,137.65 / $10,137.65 / $10,137.65	Facility		$10,137.65	$10,137.65	$10,137.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,010.40 / $2,349.31 / $3,603.90	Facility		$2,010.40	$2,349.31	$3,603.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $749.02 / $974.00 / $1,716.78	Facility		$749.02	$974.00	$1,716.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $749.02 / $1,369.15 / $13,442.00	Facility		$749.02	$1,369.15	$13,442.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $749.02 / $974.00 / $1,716.78	Facility		$749.02	$974.00	$1,716.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,475.50 / $1,797.84 / $2,683.82	Professional		$1,475.50	$1,797.84	$2,683.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,490.02 / $9,490.02 / $26,196.65	Facility		$9,490.02	$9,490.02	$26,196.65
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,483.07 / $2,483.07 / $2,483.07	Facility	AS	$2,483.07	$2,483.07	$2,483.07
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