Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.03 / $1,211.15 / $14,482.00	Facility		$572.03	$1,211.15	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $13,743.77 / $21,606.00	Facility		$8,139.00	$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 $1,525.60 / $1,782.78 / $2,734.83	Facility		$1,525.60	$1,782.78	$2,734.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $572.03 / $836.66 / $1,345.73	Facility		$572.03	$836.66	$1,345.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $572.03 / $1,195.68 / $15,090.00	Facility		$572.03	$1,195.68	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $572.03 / $824.58 / $1,345.73	Facility		$572.03	$824.58	$1,345.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,171.95 / $1,427.98 / $2,131.69	Professional		$1,171.95	$1,427.98	$2,131.69
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 $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00