Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.26 / $1,109.77 / $14,482.00	Facility		$523.26	$1,109.77	$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 $1,403.04 / $1,639.57 / $2,515.14	Facility		$1,403.04	$1,639.57	$2,515.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $523.26 / $754.92 / $1,233.08	Facility		$523.26	$754.92	$1,233.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $523.26 / $1,060.44 / $8,296.28	Facility		$523.26	$1,060.44	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $523.26 / $754.92 / $1,233.08	Facility		$523.26	$754.92	$1,233.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,073.15 / $1,307.58 / $1,951.98	Professional		$1,073.15	$1,307.58	$1,951.98
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 $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00