Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,320.80 / $11,720.56 / $19,538.56	Facility		$1,320.80	$11,720.56	$19,538.56
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 $924.18 / $1,161.05 / $10,184.58	Facility		$924.18	$1,161.05	$10,184.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,504.21 / $2,926.37 / $4,489.13	Facility		$2,504.21	$2,926.37	$4,489.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $943.43 / $1,415.15 / $2,846.41	Facility		$943.43	$1,415.15	$2,846.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $943.43 / $2,084.98 / $16,779.00	Facility		$943.43	$2,084.98	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $943.43 / $1,415.15 / $2,846.41	Facility		$943.43	$1,415.15	$2,846.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,924.00 / $2,344.32 / $3,499.61	Professional		$1,924.00	$2,344.32	$3,499.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,509.94 / $9,509.94 / $26,251.60	Facility		$9,509.94	$9,509.94	$26,251.60
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,488.28 / $2,488.28 / $2,488.28	Facility	AS	$2,488.28	$2,488.28	$2,488.28
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $13,721.00 / $17,327.00	Facility		$7,984.00	$13,721.00	$17,327.00