Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.42 / $2,618.00 / $13,058.90	Facility		$655.42	$2,618.00	$13,058.90
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 $1,762.59 / $2,059.73 / $3,159.67	Facility		$1,762.59	$2,059.73	$3,159.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $655.42 / $917.59 / $1,546.55	Facility		$655.42	$917.59	$1,546.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $655.42 / $1,389.49 / $8,296.28	Facility		$655.42	$1,389.49	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $655.42 / $887.74 / $1,546.55	Facility		$655.42	$887.74	$1,546.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,344.85 / $1,638.65 / $2,446.17	Professional		$1,344.85	$1,638.65	$2,446.17
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