Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $857.01 / $8,243.00 / $15,598.02	Facility		$857.01	$8,243.00	$15,598.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,692.00 / $15,055.00 / $22,609.00	Facility		$5,692.00	$15,055.00	$22,609.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20,478.49 / $20,478.49 / $20,478.49	Facility		$20,478.49	$20,478.49	$20,478.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,285.23 / $2,670.48 / $4,096.59	Facility		$2,285.23	$2,670.48	$4,096.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $857.01 / $1,146.09 / $2,010.30	Facility		$857.01	$1,146.09	$2,010.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $857.01 / $1,777.78 / $15,090.00	Facility		$857.01	$1,777.78	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $857.01 / $1,146.09 / $2,010.30	Facility		$857.01	$1,146.09	$2,010.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,756.30 / $2,139.98 / $3,194.57	Professional		$1,756.30	$2,139.98	$3,194.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,540.46 / $18,540.46 / $51,179.80	Facility		$18,540.46	$18,540.46	$51,179.80
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $4,851.12 / $4,851.12 / $4,851.12	Facility	AS	$4,851.12	$4,851.12	$4,851.12
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $12,373.00 / $17,327.00	Facility		$6,154.00	$12,373.00	$17,327.00