Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $845.15 / $1,788.32 / $14,482.00	Facility		$845.15	$1,788.32	$14,482.00
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 $2,254.60 / $2,634.68 / $4,041.67	Facility		$2,254.60	$2,634.68	$4,041.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $845.15 / $1,170.05 / $1,987.03	Facility		$845.15	$1,170.05	$1,987.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $845.15 / $1,760.31 / $15,090.00	Facility		$845.15	$1,760.31	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $845.15 / $1,170.05 / $1,987.03	Facility		$845.15	$1,170.05	$1,987.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,736.80 / $2,116.21 / $3,159.11	Professional		$1,736.80	$2,116.21	$3,159.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,340.64 / $9,340.64 / $25,784.30	Facility		$9,340.64	$9,340.64	$25,784.30
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