Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.21 / $2,981.44 / $14,482.00	Facility		$812.21	$2,981.44	$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 $18,886.08 / $18,886.08 / $18,886.08	Facility		$18,886.08	$18,886.08	$18,886.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,169.00 / $2,534.64 / $3,888.21	Facility		$2,169.00	$2,534.64	$3,888.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $812.21 / $1,118.24 / $1,909.35	Facility		$812.21	$1,118.24	$1,909.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.21 / $1,677.79 / $15,090.00	Facility		$812.21	$1,677.79	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $812.21 / $1,118.24 / $1,909.35	Facility		$812.21	$1,118.24	$1,909.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,665.95 / $2,029.90 / $3,030.23	Professional		$1,665.95	$2,029.90	$3,030.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,437.41 / $17,437.41 / $48,134.90	Facility		$17,437.41	$17,437.41	$48,134.90
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $4,562.51 / $4,562.51 / $4,562.51	Facility	AS	$4,562.51	$4,562.51	$4,562.51
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $13,721.00 / $17,450.00	Facility		$7,984.00	$13,721.00	$17,450.00