Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.41 / $1,336.88 / $14,482.00	Facility		$633.41	$1,336.88	$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 $1,680.59 / $1,963.90 / $3,167.70	Facility		$1,680.59	$1,963.90	$3,167.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $633.41 / $760.54 / $1,277.47	Facility		$633.41	$760.54	$1,277.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $653.59 / $5,496.00 / $8,783.00	Facility		$653.59	$5,496.00	$8,783.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $633.41 / $760.54 / $1,277.47	Facility		$633.41	$760.54	$1,277.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,320.15 / $2,031.00 / $2,808.87	Professional		$1,320.15	$2,031.00	$2,808.87
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 $4,614.00 / $6,754.00 / $8,384.00	Facility		$4,614.00	$6,754.00	$8,384.00