Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.73 / $1,538.19 / $14,482.00	Facility		$723.73	$1,538.19	$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 $1,942.81 / $2,270.33 / $3,482.75	Facility		$1,942.81	$2,270.33	$3,482.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $723.73 / $1,043.52 / $1,608.89	Facility		$723.73	$1,043.52	$1,608.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $723.73 / $1,507.20 / $11,598.00	Facility		$723.73	$1,507.20	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $723.73 / $1,043.52 / $1,608.89	Facility		$723.73	$1,043.52	$1,608.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,492.40 / $1,818.43 / $2,714.56	Professional		$1,492.40	$1,818.43	$2,714.56
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