Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.30 / $3,678.93 / $6,815.62	Facility		$464.30	$3,678.93	$6,815.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,692.00 / $13,743.77 / $21,606.00	Facility		$5,692.00	$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 $1,247.15 / $1,457.39 / $2,235.67	Facility		$1,247.15	$1,457.39	$2,235.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $464.30 / $696.45 / $1,099.83	Facility		$464.30	$696.45	$1,099.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $464.30 / $969.59 / $8,384.00	Facility		$464.30	$969.59	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $464.30 / $696.45 / $1,099.83	Facility		$464.30	$696.45	$1,099.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $938.60 / $1,143.65 / $1,707.24	Professional		$938.60	$1,143.65	$1,707.24
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 $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00