Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.21 / $3,540.23 / $27,908.37	Facility		$351.21	$3,540.23	$27,908.37
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 $9,418.51 / $11,006.27 / $16,883.90	Facility		$9,418.51	$11,006.27	$16,883.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $351.21 / $1,404.84 / $7,229.26	Facility		$351.21	$1,404.84	$7,229.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $369.61 / $3,691.24 / $13,120.00	Facility		$369.61	$3,691.24	$13,120.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $351.21 / $1,404.84 / $7,229.26	Facility		$351.21	$1,404.84	$7,229.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $832.87 / $3,588.37 / $11,215.02	Professional		$832.87	$3,588.37	$11,215.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,087.98 / $6,087.98 / $13,629.66	Facility		$6,087.98	$6,087.98	$13,629.66
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00