Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $981.33 / $2,068.19 / $14,482.00	Facility		$981.33	$2,068.19	$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 $14,551.22 / $14,551.22 / $14,551.22	Facility		$14,551.22	$14,551.22	$14,551.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,610.54 / $3,050.63 / $4,679.74	Facility		$2,610.54	$3,050.63	$4,679.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $981.33 / $1,373.86 / $2,168.73	Facility		$981.33	$1,373.86	$2,168.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $981.33 / $1,976.28 / $15,090.00	Facility		$981.33	$1,976.28	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $981.33 / $1,354.19 / $2,168.73	Facility		$981.33	$1,354.19	$2,168.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,014.35 / $2,454.41 / $3,663.95	Professional		$2,014.35	$2,454.41	$3,663.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,275.12 / $17,275.12 / $47,686.95	Facility		$17,275.12	$17,275.12	$47,686.95
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