Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $661.52 / $1,400.02 / $14,482.00	Facility		$661.52	$1,400.02	$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 $10,420.86 / $10,420.86 / $10,420.86	Facility		$10,420.86	$10,420.86	$10,420.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,769.80 / $2,068.15 / $3,172.60	Facility		$1,769.80	$2,068.15	$3,172.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $661.52 / $913.50 / $1,570.00	Facility		$661.52	$913.50	$1,570.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $661.52 / $1,382.73 / $15,090.00	Facility		$661.52	$1,382.73	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $661.52 / $913.50 / $1,570.00	Facility		$661.52	$913.50	$1,570.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,355.25 / $1,651.32 / $2,465.10	Professional		$1,355.25	$1,651.32	$2,465.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,734.01 / $9,734.01 / $26,870.15	Facility		$9,734.01	$9,734.01	$26,870.15
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00