Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.02 / $1,322.37 / $14,482.00	Facility		$624.02	$1,322.37	$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 $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 $1,676.08 / $1,958.64 / $3,004.60	Facility		$1,676.08	$1,958.64	$3,004.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $624.02 / $904.51 / $1,469.30	Facility		$624.02	$904.51	$1,469.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $624.02 / $1,304.96 / $11,598.00	Facility		$624.02	$1,304.96	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $624.02 / $904.51 / $1,469.30	Facility		$624.02	$904.51	$1,469.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,282.45 / $1,562.62 / $2,332.67	Professional		$1,282.45	$1,562.62	$2,332.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,837.00 / $12,631.00	Facility		$4,240.00	$9,837.00	$12,631.00