Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $527.60 / $1,119.59 / $14,482.00	Facility		$527.60	$1,119.59	$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 $1,414.76 / $1,653.26 / $2,536.14	Facility		$1,414.76	$1,653.26	$2,536.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $527.60 / $680.03 / $1,166.00	Facility		$527.60	$680.03	$1,166.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $527.60 / $1,106.71 / $8,296.28	Facility		$527.60	$1,106.71	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $527.60 / $680.03 / $1,166.00	Facility		$527.60	$680.03	$1,166.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,079.00 / $1,314.72 / $1,962.62	Professional		$1,079.00	$1,314.72	$1,962.62
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