Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $781.92 / $1,649.11 / $14,482.00	Facility		$781.92	$1,649.11	$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 $10,462.85 / $10,462.85 / $10,462.85	Facility		$10,462.85	$10,462.85	$10,462.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,080.69 / $2,431.44 / $3,729.90	Facility		$2,080.69	$2,431.44	$3,729.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $781.92 / $1,130.22 / $1,832.35	Facility		$781.92	$1,130.22	$1,832.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $781.92 / $1,615.40 / $13,250.00	Facility		$781.92	$1,615.40	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $781.92 / $1,130.22 / $1,832.35	Facility		$781.92	$1,130.22	$1,832.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,597.05 / $1,945.94 / $2,904.91	Professional		$1,597.05	$1,945.94	$2,904.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,696.67 / $9,696.67 / $26,767.10	Facility		$9,696.67	$9,696.67	$26,767.10
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,537.14 / $2,537.14 / $2,537.14	Facility	AS	$2,537.14	$2,537.14	$2,537.14
United Facility/Professional Facility Modifier Low / Median / High Price $5,660.81 / $11,608.00 / $13,980.00	Facility		$5,660.81	$11,608.00	$13,980.00