Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.22 / $2,933.66 / $8,572.61	Facility		$727.22	$2,933.66	$8,572.61
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 $1,942.81 / $2,270.33 / $3,482.75	Facility		$1,942.81	$2,270.33	$3,482.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $727.22 / $1,050.00 / $1,707.95	Facility		$727.22	$1,050.00	$1,707.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $727.22 / $1,492.79 / $13,250.00	Facility		$727.22	$1,492.79	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $727.22 / $1,050.00 / $1,707.95	Facility		$727.22	$1,050.00	$1,707.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,477.45 / $1,800.22 / $2,687.37	Professional		$1,477.45	$1,800.22	$2,687.37
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 $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00