Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.97 / $2,748.41 / $14,482.00	Facility		$720.97	$2,748.41	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $13,743.77 / $21,606.00	Facility		$8,139.00	$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 $1,944.62 / $2,272.44 / $3,485.98	Facility		$1,944.62	$2,272.44	$3,485.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $720.97 / $1,074.32 / $1,593.34	Facility		$720.97	$1,074.32	$1,593.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $720.97 / $1,495.27 / $11,598.00	Facility		$720.97	$1,495.27	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $720.97 / $1,044.69 / $1,593.34	Facility		$720.97	$1,044.69	$1,593.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,492.40 / $1,818.43 / $2,714.56	Professional		$1,492.40	$1,818.43	$2,714.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,719.70 / $9,719.70 / $26,830.65	Facility		$9,719.70	$9,719.70	$26,830.65
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,543.17 / $2,543.17 / $2,543.17	Facility	AS	$2,543.17	$2,543.17	$2,543.17
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,882.00 / $12,631.00	Facility		$6,073.00	$9,882.00	$12,631.00