Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,489.30 / $9,457.84 / $18,151.08	Facility		$1,489.30	$9,457.84	$18,151.08
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 $1,877.03 / $2,193.46 / $3,364.83	Facility		$1,877.03	$2,193.46	$3,364.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $701.86 / $1,031.89 / $1,654.78	Facility		$701.86	$1,031.89	$1,654.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $701.86 / $1,466.28 / $13,250.00	Facility		$701.86	$1,466.28	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $701.86 / $1,031.89 / $1,654.78	Facility		$701.86	$1,031.89	$1,654.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,425.45 / $1,736.86 / $2,592.78	Professional		$1,425.45	$1,736.86	$2,592.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,124.67 / $9,124.67 / $25,188.10	Facility		$9,124.67	$9,124.67	$25,188.10
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,387.48 / $2,387.48 / $2,387.48	Facility	AS	$2,387.48	$2,387.48	$2,387.48
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