Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.66 / $2,230.09 / $14,482.00	Facility		$750.66	$2,230.09	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $13,743.77 / $21,606.00	Facility		$8,139.00	$13,743.77	$21,606.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10,154.69 / $10,154.69 / $10,154.69	Facility		$10,154.69	$10,154.69	$10,154.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,001.39 / $2,338.78 / $3,587.75	Facility		$2,001.39	$2,338.78	$3,587.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $750.66 / $1,054.18 / $1,761.58	Facility		$750.66	$1,054.18	$1,761.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $750.66 / $1,540.67 / $13,250.00	Facility		$750.66	$1,540.67	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $750.66 / $1,054.18 / $1,761.58	Facility		$750.66	$1,054.18	$1,761.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,533.35 / $1,868.33 / $2,789.05	Professional		$1,533.35	$1,868.33	$2,789.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,993.56 / $9,993.56 / $27,586.60	Facility		$9,993.56	$9,993.56	$27,586.60
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,614.82 / $2,614.82 / $2,614.82	Facility	AS	$2,614.82	$2,614.82	$2,614.82
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00