Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $915.91 / $1,935.02 / $14,482.00	Facility		$915.91	$1,935.02	$14,482.00
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 $21,445.86 / $21,445.86 / $21,445.86	Facility		$21,445.86	$21,445.86	$21,445.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,442.04 / $2,853.71 / $4,377.67	Facility		$2,442.04	$2,853.71	$4,377.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $915.91 / $1,363.16 / $2,024.16	Facility		$915.91	$1,363.16	$2,024.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $915.91 / $1,849.02 / $15,090.00	Facility		$915.91	$1,849.02	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $915.91 / $1,324.74 / $2,024.16	Facility		$915.91	$1,324.74	$2,024.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,864.85 / $2,272.25 / $3,392.02	Professional		$1,864.85	$2,272.25	$3,392.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,926.91 / $19,926.91 / $55,007.05	Facility		$19,926.91	$19,926.91	$55,007.05
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $5,213.89 / $5,213.89 / $5,213.89	Facility	AS	$5,213.89	$5,213.89	$5,213.89
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