Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $814.67 / $1,720.42 / $14,482.00	Facility		$814.67	$1,720.42	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,141.00 / $22,609.00	Facility		$10,878.00	$15,141.00	$22,609.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19,947.50 / $19,947.50 / $19,947.50	Facility		$19,947.50	$19,947.50	$19,947.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,170.80 / $2,536.75 / $3,891.44	Facility		$2,170.80	$2,536.75	$3,891.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $814.67 / $1,170.24 / $1,800.42	Facility		$814.67	$1,170.24	$1,800.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $814.67 / $1,688.74 / $15,090.00	Facility		$814.67	$1,688.74	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $814.67 / $1,170.24 / $1,800.42	Facility		$814.67	$1,170.24	$1,800.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,672.45 / $2,037.82 / $3,042.06	Professional		$1,672.45	$2,037.82	$3,042.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,415.05 / $17,415.05 / $48,073.20	Facility		$17,415.05	$17,415.05	$48,073.20
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $4,556.66 / $4,556.66 / $4,556.66	Facility	AS	$4,556.66	$4,556.66	$4,556.66
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