Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $843.74 / $1,780.54 / $14,482.00	Facility		$843.74	$1,780.54	$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 $20,971.99 / $20,971.99 / $20,971.99	Facility		$20,971.99	$20,971.99	$20,971.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,240.17 / $2,617.83 / $4,015.82	Facility		$2,240.17	$2,617.83	$4,015.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $843.74 / $1,236.55 / $1,864.67	Facility		$843.74	$1,236.55	$1,864.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $843.74 / $1,750.16 / $13,250.00	Facility		$843.74	$1,750.16	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $843.74 / $1,221.14 / $1,864.67	Facility		$843.74	$1,221.14	$1,864.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,732.25 / $2,110.67 / $3,150.83	Professional		$1,732.25	$2,110.67	$3,150.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,066.55 / $18,066.55 / $49,871.65	Facility		$18,066.55	$18,066.55	$49,871.65
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