Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.91 / $1,104.05 / $14,482.00	Facility		$520.91	$1,104.05	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,560.77 / $7,560.77 / $7,560.77	Facility		$7,560.77	$7,560.77	$7,560.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,392.23 / $1,626.93 / $2,495.75	Facility		$1,392.23	$1,626.93	$2,495.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $520.91 / $776.98 / $1,354.39	Facility		$520.91	$776.98	$1,354.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $520.91 / $1,089.08 / $15,090.00	Facility		$520.91	$1,089.08	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $520.91 / $776.98 / $1,354.39	Facility		$520.91	$776.98	$1,354.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,067.95 / $1,301.26 / $1,942.52	Professional		$1,067.95	$1,301.26	$1,942.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,887.52 / $1,887.52 / $1,887.52	Facility	AS	$1,887.52	$1,887.52	$1,887.52
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