Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $721.70 / $1,521.79 / $14,482.00	Facility		$721.70	$1,521.79	$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 $1,927.50 / $2,252.42 / $3,455.29	Facility		$1,927.50	$2,252.42	$3,455.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $721.70 / $1,045.00 / $1,690.88	Facility		$721.70	$1,045.00	$1,690.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $721.70 / $1,483.89 / $13,250.00	Facility		$721.70	$1,483.89	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $721.70 / $1,045.00 / $1,690.88	Facility		$721.70	$1,045.00	$1,690.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,478.10 / $1,801.01 / $2,688.55	Professional		$1,478.10	$1,801.01	$2,688.55
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 $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00