Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.27 / $1,114.38 / $14,482.00	Facility		$525.27	$1,114.38	$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 $1,401.24 / $1,637.46 / $2,511.91	Facility		$1,401.24	$1,637.46	$2,511.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $525.27 / $688.34 / $1,238.20	Facility		$525.27	$688.34	$1,238.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $525.27 / $1,091.09 / $5,639.00	Facility		$525.27	$1,091.09	$5,639.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $525.27 / $688.34 / $1,238.20	Facility		$525.27	$688.34	$1,238.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,086.80 / $1,324.22 / $1,976.81	Professional		$1,086.80	$1,324.22	$1,976.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,469.60 / $2,469.60 / $6,817.20	Facility		$2,469.60	$2,469.60	$6,817.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00