Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $556.97 / $9,796.76 / $22,737.76	Facility		$556.97	$9,796.76	$22,737.76
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 $9,843.01 / $9,843.01 / $9,843.01	Facility		$9,843.01	$9,843.01	$9,843.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,502.17 / $1,755.40 / $2,692.83	Facility		$1,502.17	$1,755.40	$2,692.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $556.97 / $704.00 / $1,307.08	Facility		$556.97	$704.00	$1,307.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $556.97 / $1,124.08 / $14,270.00	Facility		$556.97	$1,124.08	$14,270.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $556.97 / $704.00 / $1,307.08	Facility		$556.97	$704.00	$1,307.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,117.34 / $1,361.45 / $2,032.37	Professional		$1,117.34	$1,361.45	$2,032.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,303.93 / $9,303.93 / $25,682.95	Facility		$9,303.93	$9,303.93	$25,682.95
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