Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $680.57 / $1,442.34 / $14,482.00	Facility		$680.57	$1,442.34	$14,482.00
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 $1,820.26 / $2,127.12 / $3,263.06	Facility		$1,820.26	$2,127.12	$3,263.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $679.65 / $881.22 / $1,479.99	Facility		$679.65	$881.22	$1,479.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $680.57 / $1,378.24 / $13,250.00	Facility		$680.57	$1,378.24	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $679.65 / $880.34 / $1,479.99	Facility		$679.65	$880.34	$1,479.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,399.45 / $1,705.18 / $2,545.48	Professional		$1,399.45	$1,705.18	$2,545.48
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 $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00