Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $932.27 / $9,580.00 / $17,885.66	Facility		$932.27	$9,580.00	$17,885.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40,982.94 / $40,982.94 / $40,982.94	Facility		$40,982.94	$40,982.94	$40,982.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,477.17 / $2,894.78 / $4,440.67	Facility		$2,477.17	$2,894.78	$4,440.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $932.27 / $1,396.08 / $2,181.38	Facility		$932.27	$1,396.08	$2,181.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $932.27 / $1,938.90 / $15,090.00	Facility		$932.27	$1,938.90	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $932.27 / $1,350.02 / $2,181.38	Facility		$932.27	$1,350.02	$2,181.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,900.60 / $2,315.81 / $3,457.05	Professional		$1,900.60	$2,315.81	$3,457.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30,565.34 / $30,565.34 / $84,373.80	Facility		$30,565.34	$30,565.34	$84,373.80
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $7,997.44 / $7,997.44 / $7,997.44	Facility	AS	$7,997.44	$7,997.44	$7,997.44
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00