Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $731.81 / $4,468.78 / $22,493.00	Facility		$731.81	$4,468.78	$22,493.00
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 $1,971.65 / $2,304.03 / $3,534.44	Facility		$1,971.65	$2,304.03	$3,534.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $731.81 / $999.15 / $1,722.93	Facility		$731.81	$999.15	$1,722.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $731.81 / $1,486.28 / $13,250.00	Facility		$731.81	$1,486.28	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $731.81 / $999.15 / $1,722.93	Facility		$731.81	$999.15	$1,722.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,498.90 / $1,826.35 / $2,726.38	Professional		$1,498.90	$1,826.35	$2,726.38
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 $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00