Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.64 / $2,521.29 / $24,522.35	Facility		$673.64	$2,521.29	$24,522.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,141.00 / $22,609.00	Facility		$10,878.00	$15,141.00	$22,609.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19,413.37 / $19,413.37 / $19,413.37	Facility		$19,413.37	$19,413.37	$19,413.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,796.83 / $2,099.73 / $3,221.06	Facility		$1,796.83	$2,099.73	$3,221.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $673.64 / $993.97 / $1,571.88	Facility		$673.64	$993.97	$1,571.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $673.64 / $1,379.67 / $15,090.00	Facility		$673.64	$1,379.67	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $673.64 / $993.97 / $1,571.88	Facility		$673.64	$993.97	$1,571.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,368.90 / $1,667.95 / $2,489.92	Professional		$1,368.90	$1,667.95	$2,489.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,529.43 / $19,529.43 / $53,909.80	Facility		$19,529.43	$19,529.43	$53,909.80
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $5,109.89 / $5,109.89 / $5,109.89	Facility	AS	$5,109.89	$5,109.89	$5,109.89
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00