Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.13 / $1,365.34 / $14,482.00	Facility		$644.13	$1,365.34	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,287.00 / $13,743.77 / $21,606.00	Facility		$9,287.00	$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 $1,728.35 / $2,019.71 / $3,098.29	Facility		$1,728.35	$2,019.71	$3,098.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $644.13 / $876.61 / $1,517.05	Facility		$644.13	$876.61	$1,517.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $644.13 / $1,302.98 / $15,090.00	Facility		$644.13	$1,302.98	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $644.13 / $876.61 / $1,517.05	Facility		$644.13	$876.61	$1,517.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,319.50 / $1,607.76 / $2,400.07	Professional		$1,319.50	$1,607.76	$2,400.07
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 $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00