Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.80 / $1,223.75 / $14,482.00	Facility		$577.80	$1,223.75	$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 $1,549.93 / $1,811.21 / $2,778.45	Facility		$1,549.93	$1,811.21	$2,778.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $577.80 / $822.53 / $1,359.73	Facility		$577.80	$822.53	$1,359.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $577.80 / $1,172.05 / $8,296.28	Facility		$577.80	$1,172.05	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $577.80 / $822.53 / $1,359.73	Facility		$577.80	$822.53	$1,359.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,186.25 / $1,445.40 / $2,157.69	Professional		$1,186.25	$1,445.40	$2,157.69
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 / $6,754.00 / $8,384.00	Facility		$4,918.00	$6,754.00	$8,384.00