Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $606.17 / $1,695.51 / $12,348.48	Facility		$606.17	$1,695.51	$12,348.48
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 $10,885.57 / $10,885.57 / $10,885.57	Facility		$10,885.57	$10,885.57	$10,885.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,190.62 / $2,559.92 / $3,926.98	Facility		$2,190.62	$2,559.92	$3,926.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $606.17 / $904.27 / $1,695.51	Facility		$606.17	$904.27	$1,695.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $619.92 / $1,130.33 / $12,741.00	Facility		$619.92	$1,130.33	$12,741.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $606.17 / $904.27 / $1,695.51	Facility		$606.17	$904.27	$1,695.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,375.84 / $1,922.22 / $2,782.40	Professional		$1,375.84	$1,922.22	$2,782.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,912.44 / $2,912.44 / $10,368.86	Facility		$2,912.44	$2,912.44	$10,368.86
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $283.69 / $283.69 / $283.69	Facility	AS	$283.69	$283.69	$283.69
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