Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.75 / $6,461.00 / $19,315.90	Facility		$630.75	$6,461.00	$19,315.90
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 $9,830.20 / $9,830.20 / $9,830.20	Facility		$9,830.20	$9,830.20	$9,830.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,686.90 / $1,971.27 / $3,023.98	Facility		$1,686.90	$1,971.27	$3,023.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $630.75 / $883.05 / $1,475.78	Facility		$630.75	$883.05	$1,475.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.75 / $1,310.11 / $14,270.00	Facility		$630.75	$1,310.11	$14,270.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $630.75 / $883.05 / $1,475.78	Facility		$630.75	$883.05	$1,475.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,281.15 / $1,561.03 / $2,330.31	Professional		$1,281.15	$1,561.03	$2,330.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,443.98 / $9,443.98 / $26,069.55	Facility		$9,443.98	$9,443.98	$26,069.55
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