Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.16 / $1,490.76 / $14,482.00	Facility		$707.16	$1,490.76	$14,482.00
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 $1,884.24 / $2,201.89 / $3,377.75	Facility		$1,884.24	$2,201.89	$3,377.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $707.16 / $921.82 / $1,562.82	Facility		$707.16	$921.82	$1,562.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.16 / $1,468.19 / $15,090.00	Facility		$707.16	$1,468.19	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $707.16 / $921.82 / $1,562.82	Facility		$707.16	$921.82	$1,562.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,444.95 / $1,760.62 / $2,628.25	Professional		$1,444.95	$1,760.62	$2,628.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,700.41 / $9,700.41 / $26,777.40	Facility		$9,700.41	$9,700.41	$26,777.40
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00