Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $789.31 / $1,663.42 / $14,482.00	Facility		$789.31	$1,663.42	$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 $2,114.03 / $2,470.41 / $3,789.67	Facility		$2,114.03	$2,470.41	$3,789.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $789.31 / $1,144.67 / $1,864.69	Facility		$789.31	$1,144.67	$1,864.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $789.31 / $1,639.01 / $15,090.00	Facility		$789.31	$1,639.01	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $789.31 / $1,144.67 / $1,864.69	Facility		$789.31	$1,144.67	$1,864.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,612.00 / $1,964.16 / $2,932.10	Professional		$1,612.00	$1,964.16	$2,932.10
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 $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00