Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $780.92 / $2,900.43 / $26,118.12	Facility		$780.92	$2,900.43	$26,118.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,019.00	Facility		$13,123.00	$18,187.00	$24,019.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34,387.19 / $34,387.19 / $34,387.19	Facility		$34,387.19	$34,387.19	$34,387.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,045.54 / $2,390.38 / $3,666.90	Facility		$2,045.54	$2,390.38	$3,666.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $778.45 / $1,084.95 / $1,725.83	Facility		$778.45	$1,084.95	$1,725.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $780.92 / $1,555.10 / $19,562.00	Facility		$780.92	$1,555.10	$19,562.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $778.45 / $1,084.95 / $1,725.83	Facility		$778.45	$1,084.95	$1,725.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,587.95 / $1,934.86 / $2,774.27	Professional		$1,587.95	$1,934.86	$2,774.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31,183.96 / $31,183.96 / $86,081.45	Facility		$31,183.96	$31,183.96	$86,081.45
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $8,159.30 / $8,159.30 / $8,159.30	Facility	AS	$8,159.30	$8,159.30	$8,159.30
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $14,566.00 / $19,562.00	Facility		$8,650.00	$14,566.00	$19,562.00