Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $541.22 / $1,142.68 / $14,482.00	Facility		$541.22	$1,142.68	$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 $10,641.47 / $10,641.47 / $10,641.47	Facility		$10,641.47	$10,641.47	$10,641.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,441.79 / $1,684.85 / $2,584.60	Facility		$1,441.79	$1,684.85	$2,584.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $541.22 / $811.83 / $1,269.65	Facility		$541.22	$811.83	$1,269.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $541.22 / $1,122.90 / $11,598.00	Facility		$541.22	$1,122.90	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $541.22 / $778.38 / $1,269.65	Facility		$541.22	$778.38	$1,269.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,088.09 / $1,325.81 / $1,979.17	Professional		$1,088.09	$1,325.81	$1,979.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,269.08 / $9,269.08 / $25,586.75	Facility		$9,269.08	$9,269.08	$25,586.75
United Facility/Professional Facility Modifier Low / Median / High Price $5,660.81 / $9,158.00 / $12,062.00	Facility		$5,660.81	$9,158.00	$12,062.00