Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $1,901.05 / $14,482.00	Facility		$900.00	$1,901.05	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,287.00 / $15,141.00 / $22,609.00	Facility		$9,287.00	$15,141.00	$22,609.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21,160.99 / $21,160.99 / $21,160.99	Facility		$21,160.99	$21,160.99	$21,160.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,379.86 / $2,781.05 / $4,266.21	Facility		$2,379.86	$2,781.05	$4,266.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $1,260.00 / $2,112.28	Facility		$900.00	$1,260.00	$2,112.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $1,869.27 / $15,090.00	Facility		$900.00	$1,869.27	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $1,260.00 / $2,112.28	Facility		$900.00	$1,260.00	$2,112.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,849.25 / $2,253.23 / $3,363.64	Professional		$1,849.25	$2,253.23	$3,363.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,366.84 / $17,366.84 / $47,940.15	Facility		$17,366.84	$17,366.84	$47,940.15
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