Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.83 / $1,393.67 / $14,482.00	Facility		$663.83	$1,393.67	$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 $9,833.04 / $9,833.04 / $9,833.04	Facility		$9,833.04	$9,833.04	$9,833.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,774.31 / $2,073.42 / $3,180.67	Facility		$1,774.31	$2,073.42	$3,180.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $663.83 / $929.12 / $1,407.32	Facility		$663.83	$929.12	$1,407.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $663.83 / $1,292.19 / $8,384.00	Facility		$663.83	$1,292.19	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $663.83 / $918.41 / $1,407.32	Facility		$663.83	$918.41	$1,407.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,346.15 / $1,640.23 / $2,448.54	Professional		$1,346.15	$1,640.23	$2,448.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,398.53 / $9,398.53 / $25,944.05	Facility		$9,398.53	$9,398.53	$25,944.05
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00