Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $806.02 / $2,992.58 / $14,482.00	Facility		$806.02	$2,992.58	$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 $2,133.85 / $2,493.58 / $3,825.21	Facility		$2,133.85	$2,493.58	$3,825.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $806.02 / $1,169.25 / $2,095.65	Facility		$806.02	$1,169.25	$2,095.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $806.02 / $1,665.84 / $13,250.00	Facility		$806.02	$1,665.84	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $806.02 / $1,169.25 / $2,095.65	Facility		$806.02	$1,169.25	$2,095.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,623.70 / $1,978.42 / $2,953.39	Professional		$1,623.70	$1,978.42	$2,953.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
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