Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $966.29 / $2,052.56 / $14,482.00	Facility		$966.29	$2,052.56	$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 $2,596.13 / $3,033.78 / $4,653.89	Facility		$2,596.13	$3,033.78	$4,653.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $966.29 / $1,355.65 / $2,280.63	Facility		$966.29	$1,355.65	$2,280.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $966.29 / $1,964.14 / $13,250.00	Facility		$966.29	$1,964.14	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $966.29 / $1,355.65 / $2,280.63	Facility		$966.29	$1,355.65	$2,280.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,979.90 / $2,412.42 / $3,601.29	Professional		$1,979.90	$2,412.42	$3,601.29
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 $7,217.00 / $11,733.00 / $14,978.00	Facility		$7,217.00	$11,733.00	$14,978.00