Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.57 / $1,369.15 / $14,482.00	Facility		$645.57	$1,369.15	$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 $1,734.66 / $2,027.08 / $3,109.60	Facility		$1,734.66	$2,027.08	$3,109.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $645.57 / $933.91 / $1,521.28	Facility		$645.57	$933.91	$1,521.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.57 / $1,324.37 / $11,598.00	Facility		$645.57	$1,324.37	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $645.57 / $933.91 / $1,521.28	Facility		$645.57	$933.91	$1,521.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,327.95 / $1,618.06 / $2,415.44	Professional		$1,327.95	$1,618.06	$2,415.44
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 $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00