Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $599.84 / $2,270.58 / $14,482.00	Facility		$599.84	$2,270.58	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,141.00 / $22,609.00	Facility		$10,878.00	$15,141.00	$22,609.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20,646.03 / $20,646.03 / $20,646.03	Facility		$20,646.03	$20,646.03	$20,646.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,611.20 / $1,882.82 / $2,888.29	Facility		$1,611.20	$1,882.82	$2,888.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $599.84 / $777.27 / $1,325.65	Facility		$599.84	$777.27	$1,325.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $599.84 / $1,217.39 / $15,090.00	Facility		$599.84	$1,217.39	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $599.84 / $755.00 / $1,325.65	Facility		$599.84	$755.00	$1,325.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,220.70 / $1,487.38 / $2,220.36	Professional		$1,220.70	$1,487.38	$2,220.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,492.68 / $17,492.68 / $48,287.50	Facility		$17,492.68	$17,492.68	$48,287.50
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