Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $733.77 / $1,505.54 / $14,482.00	Facility		$733.77	$1,505.54	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10,351.14 / $10,351.14 / $10,351.14	Facility		$10,351.14	$10,351.14	$10,351.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,932.90 / $2,258.75 / $3,464.98	Facility		$1,932.90	$2,258.75	$3,464.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $733.77 / $1,070.60 / $1,621.63	Facility		$733.77	$1,070.60	$1,621.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $733.77 / $1,505.54 / $15,090.00	Facility		$733.77	$1,505.54	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $733.77 / $1,070.03 / $1,621.63	Facility		$733.77	$1,070.03	$1,621.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,457.30 / $1,775.66 / $2,650.72	Professional		$1,457.30	$1,775.66	$2,650.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,790.65 / $9,790.65 / $27,026.50	Facility		$9,790.65	$9,790.65	$27,026.50
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,561.73 / $2,561.73 / $2,561.73	Facility	AS	$2,561.73	$2,561.73	$2,561.73
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