Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.67 / $1,143.97 / $14,482.00	Facility		$540.67	$1,143.97	$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 $2,971.90 / $2,971.90 / $2,971.90	Facility		$2,971.90	$2,971.90	$2,971.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,438.19 / $1,680.64 / $2,710.81	Facility		$1,438.19	$1,680.64	$2,710.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $540.67 / $682.50 / $1,324.65	Facility		$540.67	$682.50	$1,324.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $540.67 / $1,324.65 / $8,384.00	Facility		$540.67	$1,324.65	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $540.67 / $682.50 / $1,324.65	Facility		$540.67	$682.50	$1,324.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,124.50 / $1,730.00 / $2,387.21	Professional		$1,124.50	$1,730.00	$2,387.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,817.20 / $6,817.20 / $6,817.20	Facility		$6,817.20	$6,817.20	$6,817.20
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00