Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.01 / $4,799.88 / $16,234.80	Facility		$855.01	$4,799.88	$16,234.80
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 $10,004.56 / $10,004.56 / $10,004.56	Facility		$10,004.56	$10,004.56	$10,004.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,280.73 / $2,665.22 / $4,088.51	Facility		$2,280.73	$2,665.22	$4,088.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $855.01 / $1,240.63 / $1,985.58	Facility		$855.01	$1,240.63	$1,985.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $855.01 / $1,717.39 / $15,090.00	Facility		$855.01	$1,717.39	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $855.01 / $1,240.63 / $1,985.58	Facility		$855.01	$1,240.63	$1,985.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,725.10 / $2,101.96 / $3,137.82	Professional		$1,725.10	$2,101.96	$3,137.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,468.86 / $9,468.86 / $26,138.20	Facility		$9,468.86	$9,468.86	$26,138.20
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,477.53 / $2,477.53 / $2,477.53	Facility	AS	$2,477.53	$2,477.53	$2,477.53
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