Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $626.75 / $1,339.02 / $14,482.00	Facility		$626.75	$1,339.02	$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 $10,177.48 / $10,177.48 / $10,177.48	Facility		$10,177.48	$10,177.48	$10,177.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,694.11 / $1,979.70 / $3,036.91	Facility		$1,694.11	$1,979.70	$3,036.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $595.12 / $780.24 / $1,339.02	Facility		$595.12	$780.24	$1,339.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $626.75 / $1,259.44 / $15,090.00	Facility		$626.75	$1,259.44	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $595.12 / $761.75 / $1,339.02	Facility		$595.12	$761.75	$1,339.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,279.20 / $1,558.66 / $2,326.77	Professional		$1,279.20	$1,558.66	$2,326.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,266.57 / $9,266.57 / $25,579.80	Facility		$9,266.57	$9,266.57	$25,579.80
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $17,327.00	Facility		$8,627.00	$12,373.00	$17,327.00