Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $661.14 / $1,396.69 / $14,482.00	Facility		$661.14	$1,396.69	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
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 $1,766.20 / $2,063.94 / $3,166.14	Facility		$1,766.20	$2,063.94	$3,166.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $661.14 / $955.14 / $1,551.88	Facility		$661.14	$955.14	$1,551.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $661.14 / $1,378.13 / $13,250.00	Facility		$661.14	$1,378.13	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $661.14 / $955.14 / $1,551.88	Facility		$661.14	$955.14	$1,551.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,348.75 / $1,643.40 / $2,453.27	Professional		$1,348.75	$1,643.40	$2,453.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,975.50 / $9,975.50 / $27,536.75	Facility		$9,975.50	$9,975.50	$27,536.75
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