Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $877.50 / $1,863.61 / $14,482.00	Facility		$877.50	$1,863.61	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
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 $2,348.32 / $2,744.20 / $4,209.67	Facility		$2,348.32	$2,744.20	$4,209.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $828.27 / $1,026.68 / $1,930.08	Facility		$828.27	$1,026.68	$1,930.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $828.89 / $1,780.78 / $15,090.00	Facility		$828.89	$1,780.78	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $828.27 / $1,026.68 / $1,930.08	Facility		$828.27	$1,026.68	$1,930.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,790.10 / $2,181.17 / $3,256.05	Professional		$1,790.10	$2,181.17	$3,256.05
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 $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00