Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.74 / $868.84 / $14,482.00	Facility		$414.74	$868.84	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $13,743.77 / $21,606.00	Facility		$8,139.00	$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 $1,121.89 / $1,311.02 / $2,011.14	Facility		$1,121.89	$1,311.02	$2,011.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $414.74 / $597.99 / $900.00	Facility		$414.74	$597.99	$900.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $414.74 / $824.94 / $11,598.00	Facility		$414.74	$824.94	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $414.74 / $580.64 / $900.00	Facility		$414.74	$580.64	$900.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $830.70 / $1,012.18 / $1,510.98	Professional		$830.70	$1,012.18	$1,510.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,120.31 / $9,120.31 / $25,176.10	Facility		$9,120.31	$9,120.31	$25,176.10
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,386.34 / $2,386.34 / $2,386.34	Facility	AS	$2,386.34	$2,386.34	$2,386.34
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00