Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.48 / $1,274.83 / $3,119.00	Facility		$602.48	$1,274.83	$3,119.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
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 $2,188.82 / $2,557.81 / $3,923.75	Facility		$2,188.82	$2,557.81	$3,923.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $615.66 / $903.72 / $1,692.18	Facility		$615.66	$903.72	$1,692.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $622.83 / $1,004.82 / $12,741.00	Facility		$622.83	$1,004.82	$12,741.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $615.66 / $903.72 / $1,692.18	Facility		$615.66	$903.72	$1,692.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,362.27 / $1,922.85 / $2,802.63	Professional		$1,362.27	$1,922.85	$2,802.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,897.76 / $2,897.76 / $7,213.88	Facility		$2,897.76	$2,897.76	$7,213.88
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $284.14 / $284.14 / $284.14	Facility	AS	$284.14	$284.14	$284.14
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00