Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.75 / $2,861.26 / $12,415.18	Facility		$759.75	$2,861.26	$12,415.18
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 $20,481.68 / $20,481.68 / $20,481.68	Facility		$20,481.68	$20,481.68	$20,481.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,030.22 / $2,372.48 / $3,639.44	Facility		$2,030.22	$2,372.48	$3,639.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $759.75 / $1,120.00 / $1,783.83	Facility		$759.75	$1,120.00	$1,783.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $759.75 / $1,563.72 / $15,090.00	Facility		$759.75	$1,563.72	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $759.75 / $1,120.00 / $1,783.83	Facility		$759.75	$1,120.00	$1,783.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,542.45 / $1,879.42 / $2,805.60	Professional		$1,542.45	$1,879.42	$2,805.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,411.83 / $19,411.83 / $53,585.20	Facility		$19,411.83	$19,411.83	$53,585.20
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $5,079.12 / $5,079.12 / $5,079.12	Facility	AS	$5,079.12	$5,079.12	$5,079.12
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00