Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $824.01 / $1,740.46 / $14,482.00	Facility		$824.01	$1,740.46	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,462.54 / $3,462.54 / $3,462.54	Facility		$3,462.54	$3,462.54	$3,462.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,199.63 / $2,570.44 / $3,943.13	Facility		$2,199.63	$2,570.44	$3,943.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $824.01 / $1,199.49 / $1,801.26	Facility		$824.01	$1,199.49	$1,801.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $824.01 / $1,688.09 / $13,120.00	Facility		$824.01	$1,688.09	$13,120.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $824.01 / $1,188.28 / $1,801.26	Facility		$824.01	$1,188.28	$1,801.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,684.80 / $2,052.86 / $3,064.52	Professional		$1,684.80	$2,052.86	$3,064.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,112.64 / $4,112.64 / $11,352.75	Facility		$4,112.64	$4,112.64	$11,352.75
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,076.08 / $1,076.08 / $1,076.08	Facility	AS	$1,076.08	$1,076.08	$1,076.08
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00