Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $743.92 / $1,571.60 / $14,482.00	Facility		$743.92	$1,571.60	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $13,743.77 / $21,606.00	Facility		$8,139.00	$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 $1,986.07 / $2,320.88 / $3,560.29	Facility		$1,986.07	$2,320.88	$3,560.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $743.92 / $1,077.56 / $1,746.23	Facility		$743.92	$1,077.56	$1,746.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $743.92 / $1,548.22 / $11,598.00	Facility		$743.92	$1,548.22	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $743.92 / $1,077.56 / $1,746.23	Facility		$743.92	$1,077.56	$1,746.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,526.85 / $1,860.41 / $2,777.22	Professional		$1,526.85	$1,860.41	$2,777.22
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 $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00