Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.57 / $1,600.58 / $14,482.00	Facility		$758.57	$1,600.58	$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 $10,990.16 / $10,990.16 / $10,990.16	Facility		$10,990.16	$10,990.16	$10,990.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,021.21 / $2,361.94 / $3,623.29	Facility		$2,021.21	$2,361.94	$3,623.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $758.57 / $1,137.85 / $1,778.43	Facility		$758.57	$1,137.85	$1,778.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.57 / $1,573.95 / $15,090.00	Facility		$758.57	$1,573.95	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $758.57 / $1,137.85 / $1,778.43	Facility		$758.57	$1,137.85	$1,778.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,552.85 / $1,892.09 / $2,824.51	Professional		$1,552.85	$1,892.09	$2,824.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,748.33 / $9,748.33 / $26,909.65	Facility		$9,748.33	$9,748.33	$26,909.65
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,550.66 / $2,550.66 / $2,550.66	Facility	AS	$2,550.66	$2,550.66	$2,550.66
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