Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.42 / $1,345.99 / $3,119.00	Facility		$650.42	$1,345.99	$3,119.00
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 $11,161.69 / $11,161.69 / $11,161.69	Facility		$11,161.69	$11,161.69	$11,161.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,281.64 / $2,666.27 / $4,090.13	Facility		$2,281.64	$2,666.27	$4,090.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $628.00 / $910.60 / $1,724.28	Facility		$628.00	$910.60	$1,724.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $650.42 / $1,054.04 / $12,741.00	Facility		$650.42	$1,054.04	$12,741.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $628.00 / $900.00 / $1,724.28	Facility		$628.00	$900.00	$1,724.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,469.38 / $2,007.50 / $2,861.09	Professional		$1,469.38	$2,007.50	$2,861.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,129.64 / $3,129.64 / $10,346.45	Facility		$3,129.64	$3,129.64	$10,346.45
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