Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.97 / $1,553.96 / $14,482.00	Facility		$750.97	$1,553.96	$14,482.00
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 $1,987.87 / $2,322.98 / $3,563.52	Facility		$1,987.87	$2,322.98	$3,563.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $750.23 / $1,028.71 / $1,659.64	Facility		$750.23	$1,028.71	$1,659.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $750.97 / $1,484.90 / $15,090.00	Facility		$750.97	$1,484.90	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $750.23 / $1,028.65 / $1,659.64	Facility		$750.23	$1,028.65	$1,659.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,508.00 / $1,837.44 / $2,742.94	Professional		$1,508.00	$1,837.44	$2,742.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,887.52 / $1,887.52 / $1,887.52	Facility	AS	$1,887.52	$1,887.52	$1,887.52
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