Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.81 / $1,590.46 / $14,482.00	Facility		$768.81	$1,590.46	$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 $2,068.07 / $2,416.69 / $3,707.29	Facility		$2,068.07	$2,416.69	$3,707.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $742.99 / $932.80 / $1,629.88	Facility		$742.99	$932.80	$1,629.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $768.81 / $1,403.64 / $11,598.00	Facility		$768.81	$1,403.64	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $742.99 / $904.79 / $1,629.88	Facility		$742.99	$904.79	$1,629.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,523.60 / $1,856.45 / $2,771.31	Professional		$1,523.60	$1,856.45	$2,771.31
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 $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00