Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $982.92 / $4,121.50 / $14,468.92	Facility		$982.92	$4,121.50	$14,468.92
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 $2,613.25 / $3,053.79 / $4,684.59	Facility		$2,613.25	$3,053.79	$4,684.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $982.92 / $1,353.44 / $2,172.25	Facility		$982.92	$1,353.44	$2,172.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $982.92 / $2,037.58 / $15,090.00	Facility		$982.92	$2,037.58	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $982.92 / $1,353.44 / $2,172.25	Facility		$982.92	$1,353.44	$2,172.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,006.55 / $2,444.90 / $3,649.76	Professional		$2,006.55	$2,444.90	$3,649.76
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