Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.16 / $5,449.20 / $24,319.52	Facility		$692.16	$5,449.20	$24,319.52
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 $1,843.69 / $2,154.50 / $3,305.06	Facility		$1,843.69	$2,154.50	$3,305.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $692.16 / $1,009.81 / $1,995.00	Facility		$692.16	$1,009.81	$1,995.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $692.16 / $1,457.10 / $15,090.00	Facility		$692.16	$1,457.10	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $692.16 / $1,009.81 / $1,995.00	Facility		$692.16	$1,009.81	$1,995.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,411.15 / $1,719.43 / $2,566.77	Professional		$1,411.15	$1,719.43	$2,566.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,814.92 / $9,814.92 / $27,093.50	Facility		$9,814.92	$9,814.92	$27,093.50
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,568.08 / $2,568.08 / $2,568.08	Facility	AS	$2,568.08	$2,568.08	$2,568.08
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00