Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.01 / $1,217.45 / $14,482.00	Facility		$577.01	$1,217.45	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $13,743.77 / $21,606.00	Facility		$8,139.00	$13,743.77	$21,606.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10,147.59 / $10,147.59 / $10,147.59	Facility		$10,147.59	$10,147.59	$10,147.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,534.61 / $1,793.31 / $2,750.98	Facility		$1,534.61	$1,793.31	$2,750.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $540.29 / $675.10 / $1,227.05	Facility		$540.29	$675.10	$1,227.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $541.09 / $1,196.08 / $11,598.00	Facility		$541.09	$1,196.08	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $540.29 / $675.10 / $1,227.05	Facility		$540.29	$675.10	$1,227.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,183.65 / $1,442.23 / $2,152.96	Professional		$1,183.65	$1,442.23	$2,152.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,119.29 / $10,119.29 / $27,933.70	Facility		$10,119.29	$10,119.29	$27,933.70
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00