Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $845.59 / $1,790.12 / $14,482.00	Facility		$845.59	$1,790.12	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,141.00 / $22,609.00	Facility		$10,878.00	$15,141.00	$22,609.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20,066.66 / $20,066.66 / $20,066.66	Facility		$20,066.66	$20,066.66	$20,066.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,258.21 / $2,638.89 / $4,048.13	Facility		$2,258.21	$2,638.89	$4,048.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $845.59 / $1,220.13 / $1,989.03	Facility		$845.59	$1,220.13	$1,989.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $845.59 / $1,737.47 / $15,090.00	Facility		$845.59	$1,737.47	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $845.59 / $1,220.13 / $1,989.03	Facility		$845.59	$1,220.13	$1,989.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,730.95 / $2,109.10 / $3,148.46	Professional		$1,730.95	$2,109.10	$3,148.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,740.79 / $17,740.79 / $48,972.40	Facility		$17,740.79	$17,740.79	$48,972.40
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $4,641.89 / $4,641.89 / $4,641.89	Facility	AS	$4,641.89	$4,641.89	$4,641.89
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