Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $980.43 / $8,243.00 / $18,750.83	Facility		$980.43	$8,243.00	$18,750.83
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 $21,078.85 / $21,078.85 / $21,078.85	Facility		$21,078.85	$21,078.85	$21,078.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,600.63 / $3,039.04 / $4,661.97	Facility		$2,600.63	$3,039.04	$4,661.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $980.43 / $1,454.52 / $2,289.08	Facility		$980.43	$1,454.52	$2,289.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $980.43 / $2,022.29 / $15,090.00	Facility		$980.43	$2,022.29	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $980.43 / $1,454.52 / $2,289.08	Facility		$980.43	$1,454.52	$2,289.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,990.30 / $2,425.10 / $3,620.20	Professional		$1,990.30	$2,425.10	$3,620.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,703.48 / $19,703.48 / $54,390.30	Facility		$19,703.48	$19,703.48	$54,390.30
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $5,155.43 / $5,155.43 / $5,155.43	Facility	AS	$5,155.43	$5,155.43	$5,155.43
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