Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $839.45 / $1,763.95 / $14,482.00	Facility		$839.45	$1,763.95	$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 $20,755.59 / $20,755.59 / $20,755.59	Facility		$20,755.59	$20,755.59	$20,755.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,236.58 / $2,613.62 / $4,009.36	Facility		$2,236.58	$2,613.62	$4,009.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $839.45 / $1,215.21 / $1,855.18	Facility		$839.45	$1,215.21	$1,855.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $839.45 / $1,735.29 / $15,090.00	Facility		$839.45	$1,735.29	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $839.45 / $1,175.97 / $1,855.18	Facility		$839.45	$1,175.97	$1,855.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,715.35 / $2,090.09 / $3,120.09	Professional		$1,715.35	$2,090.09	$3,120.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,020.24 / $19,020.24 / $52,504.25	Facility		$19,020.24	$19,020.24	$52,504.25
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