Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $804.09 / $1,696.55 / $14,482.00	Facility		$804.09	$1,696.55	$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 $2,145.57 / $2,507.26 / $3,846.21	Facility		$2,145.57	$2,507.26	$3,846.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $804.09 / $1,181.92 / $1,777.04	Facility		$804.09	$1,181.92	$1,777.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $804.09 / $1,655.22 / $13,250.00	Facility		$804.09	$1,655.22	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $804.09 / $1,161.14 / $1,777.04	Facility		$804.09	$1,161.14	$1,777.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,648.40 / $2,008.51 / $2,998.31	Professional		$1,648.40	$2,008.51	$2,998.31
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 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00