Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $721.90 / $2,721.15 / $14,482.00	Facility		$721.90	$2,721.15	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,287.00 / $13,743.77 / $21,606.00	Facility		$9,287.00	$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 $1,926.59 / $2,251.38 / $3,453.67	Facility		$1,926.59	$2,251.38	$3,453.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $721.90 / $1,056.10 / $1,696.48	Facility		$721.90	$1,056.10	$1,696.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $721.90 / $1,504.36 / $13,250.00	Facility		$721.90	$1,504.36	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $721.90 / $1,056.10 / $1,696.48	Facility		$721.90	$1,056.10	$1,696.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,482.65 / $1,806.55 / $2,696.83	Professional		$1,482.65	$1,806.55	$2,696.83
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 $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00