Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $835.33 / $1,755.49 / $14,482.00	Facility		$835.33	$1,755.49	$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 $2,231.17 / $2,607.30 / $3,999.67	Facility		$2,231.17	$2,607.30	$3,999.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $835.33 / $1,212.34 / $1,950.55	Facility		$835.33	$1,212.34	$1,950.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $835.33 / $1,680.00 / $11,598.00	Facility		$835.33	$1,680.00	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $835.33 / $1,212.34 / $1,950.55	Facility		$835.33	$1,212.34	$1,950.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,699.75 / $2,071.08 / $3,091.71	Professional		$1,699.75	$2,071.08	$3,091.71
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