Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.83 / $1,415.45 / $14,482.00	Facility		$688.83	$1,415.45	$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 $1,856.31 / $2,169.23 / $3,327.67	Facility		$1,856.31	$2,169.23	$3,327.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $562.50 / $766.46 / $1,460.32	Facility		$562.50	$766.46	$1,460.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $567.45 / $1,100.20 / $8,296.28	Facility		$567.45	$1,100.20	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $562.50 / $766.46 / $1,460.32	Facility		$562.50	$766.46	$1,460.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,350.70 / $1,645.78 / $2,359.78	Professional		$1,350.70	$1,645.78	$2,359.78
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