Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.74 / $1,067.45 / $14,482.00	Facility		$504.74	$1,067.45	$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 $1,356.19 / $1,584.81 / $2,431.14	Facility		$1,356.19	$1,584.81	$2,431.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $504.74 / $726.05 / $1,186.05	Facility		$504.74	$726.05	$1,186.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $504.74 / $1,013.13 / $8,296.28	Facility		$504.74	$1,013.13	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $504.74 / $726.05 / $1,186.05	Facility		$504.74	$726.05	$1,186.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,031.55 / $1,256.90 / $1,876.31	Professional		$1,031.55	$1,256.90	$1,876.31
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 $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00