Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $796.27 / $8,466.00 / $20,952.29	Facility		$796.27	$8,466.00	$20,952.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,287.00 / $13,743.77 / $21,606.00	Facility		$9,287.00	$13,743.77	$21,606.00
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 $2,121.23 / $2,478.83 / $3,802.59	Facility		$2,121.23	$2,478.83	$3,802.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $796.27 / $1,194.41 / $1,865.85	Facility		$796.27	$1,194.41	$1,865.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $796.27 / $1,650.36 / $13,250.00	Facility		$796.27	$1,650.36	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $796.27 / $1,194.41 / $1,865.85	Facility		$796.27	$1,194.41	$1,865.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,629.55 / $1,985.54 / $2,964.03	Professional		$1,629.55	$1,985.54	$2,964.03
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 $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00