Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $780.60 / $2,925.54 / $14,482.00	Facility		$780.60	$2,925.54	$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 $10,065.77 / $10,065.77 / $10,065.77	Facility		$10,065.77	$10,065.77	$10,065.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.69 / $2,441.98 / $3,746.05	Facility		$2,089.69	$2,441.98	$3,746.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $780.60 / $1,094.33 / $1,823.90	Facility		$780.60	$1,094.33	$1,823.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $780.60 / $1,568.55 / $15,090.00	Facility		$780.60	$1,568.55	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $780.60 / $1,094.33 / $1,823.90	Facility		$780.60	$1,094.33	$1,823.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,580.15 / $1,925.35 / $2,874.17	Professional		$1,580.15	$1,925.35	$2,874.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,180.68 / $9,180.68 / $25,342.70	Facility		$9,180.68	$9,180.68	$25,342.70
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,402.13 / $2,402.13 / $2,402.13	Facility	AS	$2,402.13	$2,402.13	$2,402.13
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