Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $733.65 / $1,526.87 / $14,482.00	Facility		$733.65	$1,526.87	$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 $10,303.44 / $10,303.44 / $10,303.44	Facility		$10,303.44	$10,303.44	$10,303.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,942.81 / $2,270.33 / $3,482.75	Facility		$1,942.81	$2,270.33	$3,482.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $733.65 / $1,100.48 / $1,696.53	Facility		$733.65	$1,100.48	$1,696.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $733.65 / $1,501.73 / $13,250.00	Facility		$733.65	$1,501.73	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $733.65 / $1,100.48 / $1,696.53	Facility		$733.65	$1,100.48	$1,696.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,474.85 / $1,797.05 / $2,682.64	Professional		$1,474.85	$1,797.05	$2,682.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,099.77 / $9,099.77 / $25,119.35	Facility		$9,099.77	$9,099.77	$25,119.35
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