Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $701.39 / $1,487.43 / $14,482.00	Facility		$701.39	$1,487.43	$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 $1,886.95 / $2,205.04 / $3,382.60	Facility		$1,886.95	$2,205.04	$3,382.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $701.39 / $1,047.94 / $1,550.07	Facility		$701.39	$1,047.94	$1,550.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $701.39 / $1,421.32 / $15,090.00	Facility		$701.39	$1,421.32	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $701.39 / $1,008.90 / $1,550.07	Facility		$701.39	$1,008.90	$1,550.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,438.45 / $1,752.70 / $2,616.42	Professional		$1,438.45	$1,752.70	$2,616.42
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 / $12,373.00 / $17,327.00	Facility		$6,154.00	$12,373.00	$17,327.00