Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.95 / $1,862.09 / $6,025.60	Facility		$0.95	$1,862.09	$6,025.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $12,589.25 / $16,218.10	Facility		$6,456.54	$12,589.25	$16,218.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $831.76 / $1,202.26	Facility		$630.96	$831.76	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,995.26 / $3,235.94	Facility		$1,737.80	$1,995.26	$3,235.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,412.54 / $10,000.00	Facility		$691.83	$1,412.54	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,548.82 / $14,125.38	Facility		$691.83	$1,548.82	$14,125.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,548.82 / $2,290.87	Professional		$1,000.00	$1,548.82	$2,290.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $11,220.18 / $11,220.18	Facility		$1,737.80	$11,220.18	$11,220.18
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $1,071.52 / $1,071.52 / $7,079.46	Facility	62	$1,071.52	$1,071.52	$7,079.46
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $173.78 / $173.78 / $1,122.02	Facility	AS	$173.78	$173.78	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,489.63 / $17,378.01	Facility		$8,912.51	$13,489.63	$17,378.01