Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.22 / $879.62 / $11,276.78	Facility		$420.22	$879.62	$11,276.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
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 $1,582.37 / $1,849.12 / $2,836.60	Facility		$1,582.37	$1,849.12	$2,836.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $420.22 / $625.50 / $1,205.94	Facility		$420.22	$625.50	$1,205.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $421.14 / $689.79 / $12,741.00	Facility		$421.14	$689.79	$12,741.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $420.22 / $622.94 / $1,205.94	Facility		$420.22	$622.94	$1,205.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $950.40 / $1,357.49 / $1,978.59	Professional		$950.40	$1,357.49	$1,978.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,009.72 / $2,009.72 / $9,941.90	Facility		$2,009.72	$2,009.72	$9,941.90
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