Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $715.53 / $1,510.00 / $14,482.00	Facility		$715.53	$1,510.00	$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 $7,560.77 / $7,560.77 / $7,560.77	Facility		$7,560.77	$7,560.77	$7,560.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,906.77 / $2,228.21 / $3,418.13	Facility		$1,906.77	$2,228.21	$3,418.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $715.53 / $1,050.00 / $1,677.78	Facility		$715.53	$1,050.00	$1,677.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $715.53 / $1,463.36 / $15,090.00	Facility		$715.53	$1,463.36	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $715.53 / $1,050.00 / $1,677.78	Facility		$715.53	$1,050.00	$1,677.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,460.55 / $1,779.62 / $2,656.63	Professional		$1,460.55	$1,779.62	$2,656.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,859.12 / $9,859.12 / $27,215.50	Facility		$9,859.12	$9,859.12	$27,215.50
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,579.65 / $2,579.65 / $2,579.65	Facility	AS	$2,579.65	$2,579.65	$2,579.65
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $13,721.00 / $17,327.00	Facility		$7,984.00	$13,721.00	$17,327.00