Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.43 / $5,977.50 / $19,365.96	Facility		$713.43	$5,977.50	$19,365.96
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 $21,689.70 / $21,689.70 / $21,689.70	Facility		$21,689.70	$21,689.70	$21,689.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,896.86 / $2,216.63 / $3,400.36	Facility		$1,896.86	$2,216.63	$3,400.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $713.43 / $1,034.48 / $1,665.98	Facility		$713.43	$1,034.48	$1,665.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $713.43 / $1,471.16 / $15,090.00	Facility		$713.43	$1,471.16	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $713.43 / $1,034.48 / $1,665.98	Facility		$713.43	$1,034.48	$1,665.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,435.20 / $1,748.74 / $2,610.52	Professional		$1,435.20	$1,748.74	$2,610.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20,250.29 / $20,250.29 / $55,899.70	Facility		$20,250.29	$20,250.29	$55,899.70
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $5,298.50 / $5,298.50 / $5,298.50	Facility	AS	$5,298.50	$5,298.50	$5,298.50
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