Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,441.19 / $6,740.11 / $14,028.12	Facility		$1,441.19	$6,740.11	$14,028.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,838.00 / $18,458.00	Facility		$7,084.00	$11,838.00	$18,458.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $676.70 / $1,027.88 / $1,027.88	Facility		$676.70	$1,027.88	$1,027.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,822.97 / $2,130.28 / $3,436.07	Facility		$1,822.97	$2,130.28	$3,436.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $712.20 / $862.12 / $2,401.25	Facility		$712.20	$862.12	$2,401.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $763.78 / $5,934.74 / $15,090.00	Facility		$763.78	$5,934.74	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $712.20 / $862.12 / $2,401.25	Facility		$712.20	$862.12	$2,401.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,397.50 / $2,150.00 / $2,541.94	Professional		$1,397.50	$2,150.00	$2,541.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,223.75 / $16,223.75 / $16,223.75	Facility		$16,223.75	$16,223.75	$16,223.75
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,537.78 / $1,537.78 / $1,537.78	Facility	AS	$1,537.78	$1,537.78	$1,537.78
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