Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.14 / $1,329.23 / $20,480.72	Facility		$358.14	$1,329.23	$20,480.72
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 $960.59 / $1,122.53 / $1,721.99	Facility		$960.59	$1,122.53	$1,721.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $358.14 / $501.40 / $828.70	Facility		$358.14	$501.40	$828.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $358.14 / $718.87 / $11,598.00	Facility		$358.14	$718.87	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $358.14 / $501.40 / $828.70	Facility		$358.14	$501.40	$828.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $712.40 / $868.03 / $1,295.80	Professional		$712.40	$868.03	$1,295.80
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