Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $556.05 / $1,224.56 / $14,482.00	Facility		$556.05	$1,224.56	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,692.00 / $13,743.77 / $21,606.00	Facility		$5,692.00	$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 $1,566.15 / $1,830.17 / $2,807.52	Facility		$1,566.15	$1,830.17	$2,807.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $555.51 / $696.64 / $1,360.63	Facility		$555.51	$696.64	$1,360.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $556.05 / $1,048.96 / $8,384.00	Facility		$556.05	$1,048.96	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $555.51 / $696.64 / $1,360.63	Facility		$555.51	$696.64	$1,360.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,181.05 / $1,439.06 / $2,063.39	Professional		$1,181.05	$1,439.06	$2,063.39
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 $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00