Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.76 / $1,804.54 / $16,014.42	Facility		$476.76	$1,804.54	$16,014.42
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 $1,282.29 / $1,498.46 / $2,298.67	Facility		$1,282.29	$1,498.46	$2,298.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $476.76 / $715.14 / $1,125.03	Facility		$476.76	$715.14	$1,125.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $476.76 / $999.26 / $11,598.00	Facility		$476.76	$999.26	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $476.76 / $715.14 / $1,125.03	Facility		$476.76	$715.14	$1,125.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $969.15 / $1,180.86 / $1,762.81	Professional		$969.15	$1,180.86	$1,762.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,609.53 / $9,609.53 / $26,526.55	Facility		$9,609.53	$9,609.53	$26,526.55
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