Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.79 / $3,119.00 / $17,823.00	Facility		$331.79	$3,119.00	$17,823.00
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 $13,765.51 / $16,086.09 / $24,676.47	Facility		$13,765.51	$16,086.09	$24,676.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $334.53 / $1,327.16 / $10,714.74	Facility		$334.53	$1,327.16	$10,714.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $336.14 / $5,392.07 / $13,982.00	Facility		$336.14	$5,392.07	$13,982.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $334.53 / $1,327.16 / $10,714.74	Facility		$334.53	$1,327.16	$10,714.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $777.19 / $5,228.96 / $16,342.50	Professional		$777.19	$5,228.96	$16,342.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,829.07 / $8,829.07 / $10,091.28	Facility		$8,829.07	$8,829.07	$10,091.28
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