Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $811.85 / $2,098.04 / $14,482.00	Facility		$811.85	$2,098.04	$14,482.00
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 $10,149.74 / $10,149.74 / $10,149.74	Facility		$10,149.74	$10,149.74	$10,149.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,182.51 / $2,550.44 / $3,912.44	Facility		$2,182.51	$2,550.44	$3,912.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $760.98 / $984.38 / $1,902.45	Facility		$760.98	$984.38	$1,902.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $760.98 / $1,636.11 / $15,090.00	Facility		$760.98	$1,636.11	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $760.98 / $984.38 / $1,902.45	Facility		$760.98	$984.38	$1,902.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,641.90 / $2,000.59 / $2,986.49	Professional		$1,641.90	$2,000.59	$2,986.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,216.78 / $9,216.78 / $25,442.40	Facility		$9,216.78	$9,216.78	$25,442.40
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,411.58 / $2,411.58 / $2,411.58	Facility	AS	$2,411.58	$2,411.58	$2,411.58
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