Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.17 / $1,099.17 / $14,482.00	Facility		$519.17	$1,099.17	$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 $1,392.23 / $1,626.93 / $2,495.75	Facility		$1,392.23	$1,626.93	$2,495.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $519.17 / $724.50 / $1,221.30	Facility		$519.17	$724.50	$1,221.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $519.17 / $1,050.32 / $8,296.28	Facility		$519.17	$1,050.32	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $519.17 / $724.50 / $1,221.30	Facility		$519.17	$724.50	$1,221.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,060.15 / $1,291.75 / $1,928.33	Professional		$1,060.15	$1,291.75	$1,928.33
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