Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $764.55 / $1,631.30 / $14,482.00	Facility		$764.55	$1,631.30	$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 $2,044.64 / $2,389.33 / $3,665.29	Facility		$2,044.64	$2,389.33	$3,665.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $764.55 / $1,146.83 / $1,812.55	Facility		$764.55	$1,146.83	$1,812.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $764.55 / $1,603.86 / $15,090.00	Facility		$764.55	$1,603.86	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $764.55 / $1,146.83 / $1,812.55	Facility		$764.55	$1,146.83	$1,812.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,577.55 / $1,922.18 / $2,869.44	Professional		$1,577.55	$1,922.18	$2,869.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,417.41 / $10,417.41 / $28,756.65	Facility		$10,417.41	$10,417.41	$28,756.65
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $12,373.00 / $17,327.00	Facility		$6,154.00	$12,373.00	$17,327.00