Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.59 / $1,509.14 / $14,482.00	Facility		$714.59	$1,509.14	$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 $22,604.56 / $22,604.56 / $22,604.56	Facility		$22,604.56	$22,604.56	$22,604.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,908.57 / $2,230.32 / $3,421.36	Facility		$1,908.57	$2,230.32	$3,421.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $714.59 / $1,000.43 / $1,558.76	Facility		$714.59	$1,000.43	$1,558.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $714.59 / $1,442.07 / $15,090.00	Facility		$714.59	$1,442.07	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $714.59 / $981.86 / $1,558.76	Facility		$714.59	$981.86	$1,558.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,462.50 / $1,782.00 / $2,660.18	Professional		$1,462.50	$1,782.00	$2,660.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20,385.54 / $20,385.54 / $56,273.05	Facility		$20,385.54	$20,385.54	$56,273.05
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $5,333.89 / $5,333.89 / $5,333.89	Facility	AS	$5,333.89	$5,333.89	$5,333.89
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