Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.29 / $1,123.16 / $14,482.00	Facility		$531.29	$1,123.16	$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 $1,419.26 / $1,658.52 / $2,544.21	Facility		$1,419.26	$1,658.52	$2,544.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $685.48 / $1,247.95	Facility		$525.00	$685.48	$1,247.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $531.29 / $1,094.22 / $5,639.00	Facility		$531.29	$1,094.22	$5,639.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $685.48 / $1,247.95	Facility		$525.00	$685.48	$1,247.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,092.00 / $1,330.56 / $1,986.26	Professional		$1,092.00	$1,330.56	$1,986.26
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