Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $593.91 / $1,260.72 / $14,482.00	Facility		$593.91	$1,260.72	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $13,743.77 / $21,606.00	Facility		$8,139.00	$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 $1,594.08 / $1,862.81 / $2,857.60	Facility		$1,594.08	$1,862.81	$2,857.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $592.79 / $758.34 / $1,312.54	Facility		$592.79	$758.34	$1,312.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $593.91 / $1,201.86 / $11,598.00	Facility		$593.91	$1,201.86	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $592.79 / $745.89 / $1,312.54	Facility		$592.79	$745.89	$1,312.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,213.55 / $1,478.66 / $2,207.35	Professional		$1,213.55	$1,478.66	$2,207.35
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 $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00