Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $807.77 / $8,466.00 / $14,482.00	Facility		$807.77	$8,466.00	$14,482.00
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 $10,701.98 / $10,701.98 / $10,701.98	Facility		$10,701.98	$10,701.98	$10,701.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,162.69 / $2,527.27 / $3,876.90	Facility		$2,162.69	$2,527.27	$3,876.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $807.77 / $1,130.88 / $1,901.25	Facility		$807.77	$1,130.88	$1,901.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $807.77 / $1,711.13 / $15,090.00	Facility		$807.77	$1,711.13	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $807.77 / $1,104.40 / $1,901.25	Facility		$807.77	$1,104.40	$1,901.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,655.55 / $2,017.22 / $3,011.32	Professional		$1,655.55	$2,017.22	$3,011.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,789.40 / $9,789.40 / $27,023.05	Facility		$9,789.40	$9,789.40	$27,023.05
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,561.40 / $2,561.40 / $2,561.40	Facility	AS	$2,561.40	$2,561.40	$2,561.40
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