Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $611.24 / $1,297.71 / $14,482.00	Facility		$611.24	$1,297.71	$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 $1,639.14 / $1,915.46 / $2,938.37	Facility		$1,639.14	$1,915.46	$2,938.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $611.24 / $828.61 / $1,441.90	Facility		$611.24	$828.61	$1,441.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $611.24 / $1,244.20 / $15,090.00	Facility		$611.24	$1,244.20	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $611.24 / $828.61 / $1,441.90	Facility		$611.24	$828.61	$1,441.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,253.84 / $1,527.77 / $2,280.66	Professional		$1,253.84	$1,527.77	$2,280.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,001.64 / $10,001.64 / $27,608.90	Facility		$10,001.64	$10,001.64	$27,608.90
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