Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $610.73 / $1,293.46 / $3,119.00	Facility		$610.73	$1,293.46	$3,119.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $10,038.00	Facility		$2,740.00	$4,780.00	$10,038.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,669.32 / $2,669.32 / $2,669.32	Facility		$2,669.32	$2,669.32	$2,669.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,045.54 / $2,390.38 / $3,666.90	Facility		$2,045.54	$2,390.38	$3,666.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $610.73 / $916.10 / $1,599.23	Facility		$610.73	$916.10	$1,599.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $627.05 / $1,140.08 / $7,160.00	Facility		$627.05	$1,140.08	$7,160.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $610.73 / $909.79 / $1,599.23	Facility		$610.73	$909.79	$1,599.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,374.48 / $1,859.62 / $2,639.62	Professional		$1,374.48	$1,859.62	$2,639.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,865.24 / $2,865.24 / $4,411.74	Facility		$2,865.24	$2,865.24	$4,411.74
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00