Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.79 / $1,467.25 / $14,482.00	Facility		$695.79	$1,467.25	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
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 $1,855.41 / $2,168.19 / $3,326.06	Facility		$1,855.41	$2,168.19	$3,326.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $695.79 / $978.17 / $1,521.81	Facility		$695.79	$978.17	$1,521.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $695.79 / $1,402.04 / $15,090.00	Facility		$695.79	$1,402.04	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $695.79 / $974.11 / $1,521.81	Facility		$695.79	$974.11	$1,521.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,423.50 / $1,734.48 / $2,589.23	Professional		$1,423.50	$1,734.48	$2,589.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,403.52 / $9,403.52 / $25,957.85	Facility		$9,403.52	$9,403.52	$25,957.85
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,460.44 / $2,460.44 / $2,460.44	Facility	AS	$2,460.44	$2,460.44	$2,460.44
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00