Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $589.07 / $1,253.88 / $14,482.00	Facility		$589.07	$1,253.88	$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 $1,569.75 / $1,834.38 / $2,813.98	Facility		$1,569.75	$1,834.38	$2,813.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $589.07 / $840.00 / $1,301.83	Facility		$589.07	$840.00	$1,301.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $589.07 / $1,223.93 / $13,250.00	Facility		$589.07	$1,223.93	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $589.07 / $840.00 / $1,301.83	Facility		$589.07	$840.00	$1,301.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,212.90 / $1,477.87 / $2,206.17	Professional		$1,212.90	$1,477.87	$2,206.17
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