Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $827.89 / $1,717.92 / $14,482.00	Facility		$827.89	$1,717.92	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,692.00 / $13,743.77 / $21,606.00	Facility		$5,692.00	$13,743.77	$21,606.00
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 $2,214.94 / $2,588.35 / $3,970.59	Facility		$2,214.94	$2,588.35	$3,970.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $827.89 / $1,024.51 / $1,755.13	Facility		$827.89	$1,024.51	$1,755.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $827.89 / $1,540.78 / $11,598.00	Facility		$827.89	$1,540.78	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $827.89 / $989.10 / $1,755.13	Facility		$827.89	$989.10	$1,755.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,647.10 / $2,006.93 / $2,995.95	Professional		$1,647.10	$2,006.93	$2,995.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,887.52 / $1,887.52 / $1,887.52	Facility	AS	$1,887.52	$1,887.52	$1,887.52
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00