Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $731.95 / $1,513.35 / $14,482.00	Facility		$731.95	$1,513.35	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,692.00 / $13,743.77 / $21,606.00	Facility		$5,692.00	$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 $1,959.94 / $2,290.34 / $3,513.44	Facility		$1,959.94	$2,290.34	$3,513.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $704.05 / $896.52 / $1,681.50	Facility		$704.05	$896.52	$1,681.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $731.95 / $1,335.48 / $11,598.00	Facility		$731.95	$1,335.48	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $704.05 / $896.52 / $1,681.50	Facility		$704.05	$896.52	$1,681.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,448.85 / $1,765.37 / $2,635.35	Professional		$1,448.85	$1,765.37	$2,635.35
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 $6,073.00 / $9,882.00 / $12,631.00	Facility		$6,073.00	$9,882.00	$12,631.00