Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.11 / $1,357.54 / $14,482.00	Facility		$642.11	$1,357.54	$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 $1,718.44 / $2,008.13 / $3,080.52	Facility		$1,718.44	$2,008.13	$3,080.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $642.11 / $938.00 / $1,508.38	Facility		$642.11	$938.00	$1,508.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $642.11 / $1,339.73 / $13,250.00	Facility		$642.11	$1,339.73	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $642.11 / $938.00 / $1,508.38	Facility		$642.11	$938.00	$1,508.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,313.65 / $1,600.63 / $2,389.42	Professional		$1,313.65	$1,600.63	$2,389.42
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 $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00