Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.52 / $1,559.50 / $15,478.12	Facility		$695.52	$1,559.50	$15,478.12
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 $1,867.12 / $2,181.88 / $3,347.06	Facility		$1,867.12	$2,181.88	$3,347.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $695.52 / $973.73 / $1,479.51	Facility		$695.52	$973.73	$1,479.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $695.52 / $1,404.57 / $11,598.00	Facility		$695.52	$1,404.57	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $695.52 / $958.71 / $1,479.51	Facility		$695.52	$958.71	$1,479.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,421.55 / $1,732.10 / $2,585.69	Professional		$1,421.55	$1,732.10	$2,585.69
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