Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.17 / $2,603.21 / $14,482.00	Facility		$692.17	$2,603.21	$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 $1,865.32 / $2,179.77 / $3,343.83	Facility		$1,865.32	$2,179.77	$3,343.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $692.17 / $871.50 / $1,622.95	Facility		$692.17	$871.50	$1,622.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $692.17 / $1,435.37 / $15,090.00	Facility		$692.17	$1,435.37	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $692.17 / $871.50 / $1,622.95	Facility		$692.17	$871.50	$1,622.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,414.40 / $1,723.39 / $2,572.67	Professional		$1,414.40	$1,723.39	$2,572.67
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 $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00