Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.09 / $1,288.56 / $21,645.54	Facility		$594.09	$1,288.56	$21,645.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,287.00 / $13,743.77 / $21,606.00	Facility		$9,287.00	$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 $1,586.87 / $1,854.39 / $2,844.68	Facility		$1,586.87	$1,854.39	$2,844.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $594.09 / $857.28 / $1,392.45	Facility		$594.09	$857.28	$1,392.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $610.55 / $1,238.03 / $14,270.00	Facility		$610.55	$1,238.03	$14,270.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $594.09 / $857.28 / $1,392.45	Facility		$594.09	$857.28	$1,392.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,209.00 / $1,473.12 / $2,199.08	Professional		$1,209.00	$1,473.12	$2,199.08
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 $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00