Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $674.97 / $1,424.79 / $14,482.00	Facility		$674.97	$1,424.79	$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 $22,160.84 / $22,160.84 / $22,160.84	Facility		$22,160.84	$22,160.84	$22,160.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,805.84 / $2,110.27 / $3,237.21	Facility		$1,805.84	$2,110.27	$3,237.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $674.97 / $980.00 / $1,482.20	Facility		$674.97	$980.00	$1,482.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $674.97 / $1,361.47 / $15,090.00	Facility		$674.97	$1,361.47	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $674.97 / $962.39 / $1,482.20	Facility		$674.97	$962.39	$1,482.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,356.55 / $1,652.90 / $2,467.46	Professional		$1,356.55	$1,652.90	$2,467.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20,818.29 / $20,818.29 / $57,467.65	Facility		$20,818.29	$20,818.29	$57,467.65
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $11,891.00 / $15,090.00	Facility		$8,627.00	$11,891.00	$15,090.00