Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.45 / $1,308.17 / $14,482.00	Facility		$618.45	$1,308.17	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,692.00 / $13,743.77 / $21,606.00	Facility		$5,692.00	$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 $1,658.96 / $1,938.63 / $2,973.91	Facility		$1,658.96	$1,938.63	$2,973.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $615.64 / $798.08 / $1,331.88	Facility		$615.64	$798.08	$1,331.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $618.45 / $1,250.03 / $8,384.00	Facility		$618.45	$1,250.03	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $615.64 / $787.31 / $1,331.88	Facility		$615.64	$787.31	$1,331.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,262.95 / $1,538.86 / $2,297.21	Professional		$1,262.95	$1,538.86	$2,297.21
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 $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00