Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $938.17 / $1,978.99 / $14,482.00	Facility		$938.17	$1,978.99	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,408.00 / $12,444.00	Facility		$5,169.00	$8,408.00	$12,444.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,462.54 / $3,462.54 / $3,462.54	Facility		$3,462.54	$3,462.54	$3,462.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,492.50 / $2,912.68 / $4,468.13	Facility		$2,492.50	$2,912.68	$4,468.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $938.17 / $1,319.33 / $2,073.36	Facility		$938.17	$1,319.33	$2,073.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $938.17 / $1,891.03 / $13,250.00	Facility		$938.17	$1,891.03	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $938.17 / $1,313.44 / $2,073.36	Facility		$938.17	$1,313.44	$2,073.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,927.25 / $2,348.28 / $3,505.52	Professional		$1,927.25	$2,348.28	$3,505.52
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 $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00