Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $962.54 / $3,615.86 / $19,943.04	Facility		$962.54	$3,615.86	$19,943.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,141.00 / $22,609.00	Facility		$10,878.00	$15,141.00	$22,609.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20,150.21 / $20,150.21 / $20,150.21	Facility		$20,150.21	$20,150.21	$20,150.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,558.28 / $2,989.55 / $4,586.05	Facility		$2,558.28	$2,989.55	$4,586.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $962.54 / $1,352.57 / $2,254.28	Facility		$962.54	$1,352.57	$2,254.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $962.54 / $1,993.95 / $15,090.00	Facility		$962.54	$1,993.95	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $962.54 / $1,352.57 / $2,254.28	Facility		$962.54	$1,352.57	$2,254.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,975.35 / $2,406.89 / $3,593.01	Professional		$1,975.35	$2,406.89	$3,593.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,117.12 / $18,117.12 / $50,011.20	Facility		$18,117.12	$18,117.12	$50,011.20
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $4,740.35 / $4,740.35 / $4,740.35	Facility	AS	$4,740.35	$4,740.35	$4,740.35
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