Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.89 / $2,701.98 / $14,482.00	Facility		$714.89	$2,701.98	$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 $1,915.78 / $2,238.73 / $3,434.29	Facility		$1,915.78	$2,238.73	$3,434.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $714.89 / $1,000.85 / $1,684.53	Facility		$714.89	$1,000.85	$1,684.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $714.89 / $1,464.93 / $15,090.00	Facility		$714.89	$1,464.93	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $714.89 / $1,000.85 / $1,684.53	Facility		$714.89	$1,000.85	$1,684.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,467.70 / $1,788.34 / $2,669.63	Professional		$1,467.70	$1,788.34	$2,669.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,446.82 / $17,446.82 / $48,160.90	Facility		$17,446.82	$17,446.82	$48,160.90
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