Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $868.48 / $1,831.91 / $14,482.00	Facility		$868.48	$1,831.91	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,287.00 / $15,141.00 / $22,609.00	Facility		$9,287.00	$15,141.00	$22,609.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19,966.70 / $19,966.70 / $19,966.70	Facility		$19,966.70	$19,966.70	$19,966.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,314.08 / $2,704.18 / $4,148.28	Facility		$2,314.08	$2,704.18	$4,148.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $868.48 / $1,257.14 / $2,035.45	Facility		$868.48	$1,257.14	$2,035.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $868.48 / $1,797.97 / $15,090.00	Facility		$868.48	$1,797.97	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $868.48 / $1,257.14 / $2,035.45	Facility		$868.48	$1,257.14	$2,035.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,779.70 / $2,168.50 / $3,237.14	Professional		$1,779.70	$2,168.50	$3,237.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,288.79 / $18,288.79 / $50,485.10	Facility		$18,288.79	$18,288.79	$50,485.10
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $4,785.27 / $4,785.27 / $4,785.27	Facility	AS	$4,785.27	$4,785.27	$4,785.27
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