Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.87 / $1,682.06 / $14,482.00	Facility		$800.87	$1,682.06	$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 $2,134.75 / $2,494.63 / $3,826.82	Facility		$2,134.75	$2,494.63	$3,826.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $800.87 / $1,140.86 / $1,711.18	Facility		$800.87	$1,140.86	$1,711.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $800.87 / $1,604.35 / $11,598.00	Facility		$800.87	$1,604.35	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $800.87 / $1,140.86 / $1,711.18	Facility		$800.87	$1,140.86	$1,711.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,628.90 / $1,984.75 / $2,962.84	Professional		$1,628.90	$1,984.75	$2,962.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,160.77 / $9,160.77 / $25,287.75	Facility		$9,160.77	$9,160.77	$25,287.75
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,396.92 / $2,396.92 / $2,396.92	Facility	AS	$2,396.92	$2,396.92	$2,396.92
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,882.00 / $12,631.00	Facility		$6,073.00	$9,882.00	$12,631.00