Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.73 / $1,330.49 / $14,482.00	Facility		$628.73	$1,330.49	$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 $4,901.71 / $4,901.71 / $4,901.71	Facility		$4,901.71	$4,901.71	$4,901.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,683.29 / $1,967.06 / $3,017.52	Facility		$1,683.29	$1,967.06	$3,017.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $628.73 / $911.92 / $1,394.16	Facility		$628.73	$911.92	$1,394.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $628.73 / $1,312.47 / $11,598.00	Facility		$628.73	$1,312.47	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $628.73 / $909.50 / $1,394.16	Facility		$628.73	$909.50	$1,394.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,290.90 / $1,572.91 / $2,348.05	Professional		$1,290.90	$1,572.91	$2,348.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,326.95 / $9,326.95 / $25,746.50	Facility		$9,326.95	$9,326.95	$25,746.50
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,440.41 / $2,440.41 / $2,440.41	Facility	AS	$2,440.41	$2,440.41	$2,440.41
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