Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.44 / $1,255.30 / $14,482.00	Facility		$595.44	$1,255.30	$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 $1,592.28 / $1,860.70 / $2,854.37	Facility		$1,592.28	$1,860.70	$2,854.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $595.44 / $836.87 / $1,394.78	Facility		$595.44	$836.87	$1,394.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $595.44 / $1,209.95 / $8,384.00	Facility		$595.44	$1,209.95	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $595.44 / $836.87 / $1,394.78	Facility		$595.44	$836.87	$1,394.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,214.20 / $1,479.46 / $2,208.54	Professional		$1,214.20	$1,479.46	$2,208.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,446.00 / $7,085.00 / $9,134.00	Facility		$3,446.00	$7,085.00	$9,134.00