Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.95 / $1,349.89 / $14,482.00	Facility		$638.95	$1,349.89	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,462.54 / $3,462.54 / $3,462.54	Facility		$3,462.54	$3,462.54	$3,462.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,710.33 / $1,998.65 / $3,065.98	Facility		$1,710.33	$1,998.65	$3,065.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $638.95 / $922.38 / $1,499.88	Facility		$638.95	$922.38	$1,499.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $638.95 / $1,332.16 / $11,598.00	Facility		$638.95	$1,332.16	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $638.95 / $922.38 / $1,499.88	Facility		$638.95	$922.38	$1,499.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,308.45 / $1,594.30 / $2,379.96	Professional		$1,308.45	$1,594.30	$2,379.96
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 $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00