Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.71 / $3,125.84 / $22,659.52	Facility		$832.71	$3,125.84	$22,659.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,141.00 / $22,609.00	Facility		$10,878.00	$15,141.00	$22,609.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20,044.75 / $20,044.75 / $20,044.75	Facility		$20,044.75	$20,044.75	$20,044.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,214.94 / $2,588.35 / $3,970.59	Facility		$2,214.94	$2,588.35	$3,970.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $832.71 / $1,206.24 / $1,948.78	Facility		$832.71	$1,206.24	$1,948.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $832.71 / $1,725.55 / $15,090.00	Facility		$832.71	$1,725.55	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $832.71 / $1,206.24 / $1,948.78	Facility		$832.71	$1,206.24	$1,948.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,704.95 / $2,077.42 / $3,101.17	Professional		$1,704.95	$2,077.42	$3,101.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,043.02 / $18,043.02 / $49,806.70	Facility		$18,043.02	$18,043.02	$49,806.70
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $4,720.97 / $4,720.97 / $4,720.97	Facility	AS	$4,720.97	$4,720.97	$4,720.97
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $11,891.00 / $15,090.00	Facility		$8,627.00	$11,891.00	$15,090.00