Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $944.86 / $1,988.57 / $14,482.00	Facility		$944.86	$1,988.57	$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 $2,509.62 / $2,932.69 / $4,498.82	Facility		$2,509.62	$2,932.69	$4,498.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $944.86 / $1,235.49 / $2,088.14	Facility		$944.86	$1,235.49	$2,088.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $944.86 / $1,900.19 / $15,090.00	Facility		$944.86	$1,900.19	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $944.86 / $1,207.50 / $2,088.14	Facility		$944.86	$1,207.50	$2,088.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,932.45 / $2,354.62 / $3,514.98	Professional		$1,932.45	$2,354.62	$3,514.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,718.45 / $9,718.45 / $26,827.20	Facility		$9,718.45	$9,718.45	$26,827.20
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,542.84 / $2,542.84 / $2,542.84	Facility	AS	$2,542.84	$2,542.84	$2,542.84
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