Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.96 / $1,355.38 / $14,482.00	Facility		$628.96	$1,355.38	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
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 $1,705.82 / $1,993.39 / $3,057.90	Facility		$1,705.82	$1,993.39	$3,057.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $628.96 / $849.76 / $1,505.98	Facility		$628.96	$849.76	$1,505.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $628.96 / $1,325.03 / $15,090.00	Facility		$628.96	$1,325.03	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $628.96 / $849.76 / $1,505.98	Facility		$628.96	$849.76	$1,505.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,313.00 / $1,599.84 / $2,388.25	Professional		$1,313.00	$1,599.84	$2,388.25
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