Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.09 / $2,004.08 / $17,912.00	Facility		$887.09	$2,004.08	$17,912.00
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 $870.14 / $1,094.26 / $7,560.77	Facility		$870.14	$1,094.26	$7,560.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,360.92 / $2,758.94 / $4,232.28	Facility		$2,360.92	$2,758.94	$4,232.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $887.09 / $1,241.93 / $2,075.33	Facility		$887.09	$1,241.93	$2,075.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $887.09 / $1,875.78 / $15,090.00	Facility		$887.09	$1,875.78	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $887.09 / $1,222.89 / $2,075.33	Facility		$887.09	$1,222.89	$2,075.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,813.50 / $2,209.67 / $3,298.62	Professional		$1,813.50	$2,209.67	$3,298.62
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 / $12,373.00 / $17,327.00	Facility		$6,154.00	$12,373.00	$17,327.00