Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.14 / $8,466.00 / $19,652.58	Facility		$975.14	$8,466.00	$19,652.58
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 $1,060.95 / $1,273.14 / $1,629.95	Facility		$1,060.95	$1,273.14	$1,629.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,748.42 / $3,211.74 / $4,926.89	Facility		$2,748.42	$3,211.74	$4,926.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $975.14 / $1,459.59 / $3,061.50	Facility		$975.14	$1,459.59	$3,061.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,038.00 / $2,140.69 / $14,270.00	Facility		$1,038.00	$2,140.69	$14,270.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $975.14 / $1,459.59 / $3,061.50	Facility		$975.14	$1,459.59	$3,061.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,200.25 / $2,680.92 / $4,002.09	Professional		$2,200.25	$2,680.92	$4,002.09
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 62 Low / Median / High Price $11,796.97 / $11,796.97 / $11,796.97	Facility	62	$11,796.97	$11,796.97	$11,796.97
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