Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $721.58 / $1,520.91 / $14,482.00	Facility		$721.58	$1,520.91	$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 $1,931.10 / $2,256.64 / $3,461.75	Facility		$1,931.10	$2,256.64	$3,461.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $721.58 / $981.20 / $1,581.97	Facility		$721.58	$981.20	$1,581.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $721.58 / $1,453.31 / $11,598.00	Facility		$721.58	$1,453.31	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $721.58 / $931.62 / $1,581.97	Facility		$721.58	$931.62	$1,581.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,475.50 / $1,797.84 / $2,683.82	Professional		$1,475.50	$1,797.84	$2,683.82
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