Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.41 / $1,262.57 / $14,482.00	Facility		$594.41	$1,262.57	$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 $1,599.49 / $1,869.13 / $2,867.29	Facility		$1,599.49	$1,869.13	$2,867.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $594.41 / $891.62 / $1,313.65	Facility		$594.41	$891.62	$1,313.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $594.41 / $1,206.45 / $8,296.28	Facility		$594.41	$1,206.45	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $594.41 / $856.13 / $1,313.65	Facility		$594.41	$856.13	$1,313.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,216.15 / $1,481.83 / $2,212.08	Professional		$1,216.15	$1,481.83	$2,212.08
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