Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.53 / $1,672.96 / $14,482.00	Facility		$795.53	$1,672.96	$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 $2,122.14 / $2,479.89 / $3,804.21	Facility		$2,122.14	$2,479.89	$3,804.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $795.53 / $1,138.38 / $1,758.12	Facility		$795.53	$1,138.38	$1,758.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $795.53 / $1,635.81 / $11,598.00	Facility		$795.53	$1,635.81	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $795.53 / $1,138.38 / $1,758.12	Facility		$795.53	$1,138.38	$1,758.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,624.35 / $1,979.21 / $2,954.57	Professional		$1,624.35	$1,979.21	$2,954.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,143.35 / $9,143.35 / $25,239.65	Facility		$9,143.35	$9,143.35	$25,239.65
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,392.36 / $2,392.36 / $2,392.36	Facility	AS	$2,392.36	$2,392.36	$2,392.36
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