Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $631.90 / $1,315.21 / $14,482.00	Facility		$631.90	$1,315.21	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,462.54 / $3,462.54 / $3,462.54	Facility		$3,462.54	$3,462.54	$3,462.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,696.81 / $1,982.86 / $3,041.75	Facility		$1,696.81	$1,982.86	$3,041.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $631.90 / $760.85 / $1,343.11	Facility		$631.90	$760.85	$1,343.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $631.90 / $1,256.76 / $8,296.28	Facility		$631.90	$1,256.76	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $631.90 / $748.21 / $1,343.11	Facility		$631.90	$748.21	$1,343.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,249.30 / $1,522.22 / $2,272.38	Professional		$1,249.30	$1,522.22	$2,272.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,244.77 / $3,244.77 / $8,957.00	Facility		$3,244.77	$3,244.77	$8,957.00
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