Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.90 / $1,520.42 / $14,482.00	Facility		$719.90	$1,520.42	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $15,055.00 / $22,609.00	Facility		$8,139.00	$15,055.00	$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 $1,922.09 / $2,246.11 / $3,445.59	Facility		$1,922.09	$2,246.11	$3,445.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $719.90 / $1,022.94 / $1,575.62	Facility		$719.90	$1,022.94	$1,575.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $719.90 / $1,470.00 / $11,598.00	Facility		$719.90	$1,470.00	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $719.90 / $1,022.94 / $1,575.62	Facility		$719.90	$1,022.94	$1,575.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,477.45 / $1,800.22 / $2,687.37	Professional		$1,477.45	$1,800.22	$2,687.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,275.12 / $17,275.12 / $47,686.95	Facility		$17,275.12	$17,275.12	$47,686.95
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00