Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $943.76 / $1,993.34 / $14,482.00	Facility		$943.76	$1,993.34	$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 $2,516.83 / $2,941.11 / $4,511.74	Facility		$2,516.83	$2,941.11	$4,511.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $943.76 / $1,415.64 / $2,214.83	Facility		$943.76	$1,415.64	$2,214.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $943.76 / $1,962.78 / $13,250.00	Facility		$943.76	$1,962.78	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $943.76 / $1,415.64 / $2,214.83	Facility		$943.76	$1,415.64	$2,214.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,937.65 / $2,360.94 / $3,524.44	Professional		$1,937.65	$2,360.94	$3,524.44
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 / $16,437.00	Facility		$5,266.00	$11,608.00	$16,437.00