Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $898.56 / $1,899.38 / $14,482.00	Facility		$898.56	$1,899.38	$14,482.00
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 $21,015.84 / $21,015.84 / $21,015.84	Facility		$21,015.84	$21,015.84	$21,015.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,396.98 / $2,801.06 / $4,296.89	Facility		$2,396.98	$2,801.06	$4,296.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $898.56 / $1,249.32 / $2,110.42	Facility		$898.56	$1,249.32	$2,110.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $898.56 / $1,869.00 / $15,090.00	Facility		$898.56	$1,869.00	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $898.56 / $1,249.32 / $2,110.42	Facility		$898.56	$1,249.32	$2,110.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,846.00 / $2,249.28 / $3,357.73	Professional		$1,846.00	$2,249.28	$3,357.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,427.57 / $18,427.57 / $50,868.20	Facility		$18,427.57	$18,427.57	$50,868.20
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $4,821.58 / $4,821.58 / $4,821.58	Facility	AS	$4,821.58	$4,821.58	$4,821.58
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