Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $836.30 / $1,750.79 / $14,482.00	Facility		$836.30	$1,750.79	$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 $2,234.78 / $2,611.51 / $4,006.13	Facility		$2,234.78	$2,611.51	$4,006.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $836.30 / $1,132.66 / $1,775.68	Facility		$836.30	$1,132.66	$1,775.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $836.30 / $1,672.98 / $15,090.00	Facility		$836.30	$1,672.98	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $836.30 / $1,087.44 / $1,775.68	Facility		$836.30	$1,087.44	$1,775.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,686.10 / $2,054.44 / $3,066.89	Professional		$1,686.10	$2,054.44	$3,066.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,508.07 / $9,508.07 / $26,246.45	Facility		$9,508.07	$9,508.07	$26,246.45
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00