Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $847.08 / $3,184.22 / $14,482.00	Facility		$847.08	$3,184.22	$14,482.00
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 $10,479.95 / $10,479.95 / $10,479.95	Facility		$10,479.95	$10,479.95	$10,479.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,255.50 / $2,635.73 / $4,043.28	Facility		$2,255.50	$2,635.73	$4,043.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $847.08 / $1,260.18 / $1,872.05	Facility		$847.08	$1,260.18	$1,872.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $847.08 / $1,758.42 / $15,090.00	Facility		$847.08	$1,758.42	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $847.08 / $1,228.76 / $1,872.05	Facility		$847.08	$1,228.76	$1,872.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,732.90 / $2,111.46 / $3,152.01	Professional		$1,732.90	$2,111.46	$3,152.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,544.17 / $9,544.17 / $26,346.10	Facility		$9,544.17	$9,544.17	$26,346.10
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,497.23 / $2,497.23 / $2,497.23	Facility	AS	$2,497.23	$2,497.23	$2,497.23
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