Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $483.90 / $1,027.51 / $14,482.00	Facility		$483.90	$1,027.51	$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 $1,307.53 / $1,527.95 / $2,343.91	Facility		$1,307.53	$1,527.95	$2,343.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $483.90 / $617.79 / $1,027.51	Facility		$483.90	$617.79	$1,027.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $483.90 / $962.80 / $8,296.28	Facility		$483.90	$962.80	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $483.90 / $607.78 / $1,027.51	Facility		$483.90	$607.78	$1,027.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $989.95 / $1,206.22 / $1,800.64	Professional		$989.95	$1,206.22	$1,800.64
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