Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.33 / $2,753.55 / $19,214.50	Facility		$732.33	$2,753.55	$19,214.50
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 $1,952.73 / $2,281.92 / $3,500.52	Facility		$1,952.73	$2,281.92	$3,500.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $732.33 / $1,064.00 / $1,716.68	Facility		$732.33	$1,064.00	$1,716.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $732.33 / $1,511.88 / $15,090.00	Facility		$732.33	$1,511.88	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $732.33 / $1,064.00 / $1,716.68	Facility		$732.33	$1,064.00	$1,716.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,500.85 / $1,828.73 / $2,729.93	Professional		$1,500.85	$1,828.73	$2,729.93
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 $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00