Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $868.42 / $3,280.94 / $14,482.00	Facility		$868.42	$3,280.94	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,287.00 / $13,743.77 / $21,606.00	Facility		$9,287.00	$13,743.77	$21,606.00
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 $2,325.79 / $2,717.87 / $4,169.28	Facility		$2,325.79	$2,717.87	$4,169.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $868.42 / $1,239.18 / $2,045.48	Facility		$868.42	$1,239.18	$2,045.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $868.42 / $1,779.16 / $13,250.00	Facility		$868.42	$1,779.16	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $868.42 / $1,239.18 / $2,045.48	Facility		$868.42	$1,239.18	$2,045.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,776.45 / $2,164.54 / $3,231.23	Professional		$1,776.45	$2,164.54	$3,231.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,501.21 / $9,501.21 / $26,227.55	Facility		$9,501.21	$9,501.21	$26,227.55
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00