Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.98 / $1,940.22 / $14,482.00	Facility		$921.98	$1,940.22	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,141.00 / $22,609.00	Facility		$10,878.00	$15,141.00	$22,609.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20,472.09 / $20,472.09 / $20,472.09	Facility		$20,472.09	$20,472.09	$20,472.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,449.23 / $2,862.14 / $4,390.59	Facility		$2,449.23	$2,862.14	$4,390.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $921.98 / $1,274.61 / $2,037.58	Facility		$921.98	$1,274.61	$2,037.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $921.98 / $1,853.99 / $15,090.00	Facility		$921.98	$1,853.99	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $921.98 / $1,256.00 / $2,037.58	Facility		$921.98	$1,256.00	$2,037.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,888.25 / $2,300.76 / $3,434.58	Professional		$1,888.25	$2,300.76	$3,434.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,854.87 / $17,854.87 / $49,287.30	Facility		$17,854.87	$17,854.87	$49,287.30
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