Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.58 / $1,338.70 / $14,482.00	Facility		$633.58	$1,338.70	$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 $1,688.70 / $1,973.38 / $3,027.21	Facility		$1,688.70	$1,973.38	$3,027.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $633.58 / $950.37 / $1,487.45	Facility		$633.58	$950.37	$1,487.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $633.58 / $1,311.96 / $13,250.00	Facility		$633.58	$1,311.96	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $633.58 / $909.25 / $1,487.45	Facility		$633.58	$909.25	$1,487.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,272.05 / $1,549.94 / $2,313.76	Professional		$1,272.05	$1,549.94	$2,313.76
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 $5,266.00 / $11,608.00 / $16,437.00	Facility		$5,266.00	$11,608.00	$16,437.00