Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.34 / $3,065.18 / $17,823.00	Facility		$724.34	$3,065.18	$17,823.00
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 $10,700.53 / $10,700.53 / $10,700.53	Facility		$10,700.53	$10,700.53	$10,700.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,943.72 / $2,271.39 / $3,484.36	Facility		$1,943.72	$2,271.39	$3,484.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $724.34 / $1,014.08 / $1,707.45	Facility		$724.34	$1,014.08	$1,707.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.34 / $1,535.60 / $15,090.00	Facility		$724.34	$1,535.60	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $724.34 / $985.47 / $1,707.45	Facility		$724.34	$985.47	$1,707.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,486.55 / $1,811.30 / $2,703.92	Professional		$1,486.55	$1,811.30	$2,703.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,779.45 / $9,779.45 / $26,995.60	Facility		$9,779.45	$9,779.45	$26,995.60
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,558.80 / $2,558.80 / $2,558.80	Facility	AS	$2,558.80	$2,558.80	$2,558.80
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00