Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.42 / $3,313.86 / $11,372.14	Facility		$879.42	$3,313.86	$11,372.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10,504.84 / $10,504.84 / $10,504.84	Facility		$10,504.84	$10,504.84	$10,504.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,350.12 / $2,746.30 / $4,212.89	Facility		$2,350.12	$2,746.30	$4,212.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $879.42 / $1,249.72 / $2,066.00	Facility		$879.42	$1,249.72	$2,066.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $879.42 / $1,810.06 / $15,090.00	Facility		$879.42	$1,810.06	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $879.42 / $1,249.72 / $2,066.00	Facility		$879.42	$1,249.72	$2,066.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,803.10 / $2,197.01 / $3,279.70	Professional		$1,803.10	$2,197.01	$3,279.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,669.90 / $9,669.90 / $26,693.15	Facility		$9,669.90	$9,669.90	$26,693.15
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,530.14 / $2,530.14 / $2,530.14	Facility	AS	$2,530.14	$2,530.14	$2,530.14
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00