Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $7,179.58 / $19,951.13	Facility		$803.00	$7,179.58	$19,951.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $703.55 / $1,062.48 / $1,062.48	Facility		$703.55	$1,062.48	$1,062.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,922.99 / $2,247.17 / $3,624.60	Facility		$1,922.99	$2,247.17	$3,624.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $741.02 / $903.08 / $3,734.83	Facility		$741.02	$903.08	$3,734.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,734.83 / $14,978.00	Facility		$803.00	$3,734.83	$14,978.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $741.02 / $903.08 / $3,734.83	Facility		$741.02	$903.08	$3,734.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,458.60 / $2,227.98 / $2,653.08	Professional		$1,458.60	$2,227.98	$2,653.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,373.40 / $16,373.40 / $16,373.40	Facility		$16,373.40	$16,373.40	$16,373.40
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,551.97 / $1,551.97 / $1,551.97	Facility	AS	$1,551.97	$1,551.97	$1,551.97
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00