Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $1,257.46 / $8,243.00	Facility		$330.07	$1,257.46	$8,243.00
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 $1,351.68 / $1,579.55 / $2,423.06	Facility		$1,351.68	$1,579.55	$2,423.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $533.10 / $1,046.83	Facility		$330.07	$533.10	$1,046.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $342.53 / $655.73 / $7,160.00	Facility		$342.53	$655.73	$7,160.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $532.23 / $1,046.83	Facility		$330.07	$532.23	$1,046.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $784.72 / $1,158.54 / $1,707.66	Professional		$784.72	$1,158.54	$1,707.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,589.00 / $1,589.00 / $7,213.88	Facility		$1,589.00	$1,589.00	$7,213.88
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00