Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $959.63 / $3,581.53 / $19,213.66	Facility		$959.63	$3,581.53	$19,213.66
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 $10,087.09 / $10,087.09 / $10,087.09	Facility		$10,087.09	$10,087.09	$10,087.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,557.38 / $2,988.50 / $4,584.43	Facility		$2,557.38	$2,988.50	$4,584.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $959.63 / $1,400.00 / $2,232.88	Facility		$959.63	$1,400.00	$2,232.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $959.63 / $1,951.46 / $15,090.00	Facility		$959.63	$1,951.46	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $959.63 / $1,400.00 / $2,232.88	Facility		$959.63	$1,400.00	$2,232.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,942.85 / $2,367.29 / $3,533.89	Professional		$1,942.85	$2,367.29	$3,533.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,292.11 / $9,292.11 / $25,650.30	Facility		$9,292.11	$9,292.11	$25,650.30
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,431.29 / $2,431.29 / $2,431.29	Facility	AS	$2,431.29	$2,431.29	$2,431.29
United Facility/Professional Facility Modifier Low / Median / High Price $8,967.00 / $13,752.00 / $17,327.00	Facility		$8,967.00	$13,752.00	$17,327.00