Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.57 / $4,139.89 / $14,482.00	Facility		$826.57	$4,139.89	$14,482.00
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 $2,203.23 / $2,574.66 / $3,949.59	Facility		$2,203.23	$2,574.66	$3,949.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $826.57 / $1,239.85 / $1,936.98	Facility		$826.57	$1,239.85	$1,936.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $826.57 / $1,716.19 / $13,250.00	Facility		$826.57	$1,716.19	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $826.57 / $1,239.85 / $1,936.98	Facility		$826.57	$1,239.85	$1,936.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,693.25 / $2,063.16 / $3,079.89	Professional		$1,693.25	$2,063.16	$3,079.89
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 $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00