Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $731.90 / $1,539.92 / $14,482.00	Facility		$731.90	$1,539.92	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $13,743.77 / $21,606.00	Facility		$8,139.00	$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 $1,947.32 / $2,275.60 / $3,490.83	Facility		$1,947.32	$2,275.60	$3,490.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $731.90 / $1,075.80 / $1,711.03	Facility		$731.90	$1,075.80	$1,711.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $731.90 / $1,509.13 / $11,598.00	Facility		$731.90	$1,509.13	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $731.90 / $1,075.80 / $1,711.03	Facility		$731.90	$1,075.80	$1,711.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,495.65 / $1,822.39 / $2,720.47	Professional		$1,495.65	$1,822.39	$2,720.47
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 $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00