Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.41 / $1,118.10 / $14,482.00	Facility		$523.41	$1,118.10	$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 $1,419.26 / $1,658.52 / $2,544.21	Facility		$1,419.26	$1,658.52	$2,544.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $509.00 / $671.94 / $1,118.11	Facility		$509.00	$671.94	$1,118.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $523.41 / $1,050.90 / $8,296.28	Facility		$523.41	$1,050.90	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $509.00 / $659.38 / $1,118.11	Facility		$509.00	$659.38	$1,118.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,080.30 / $1,316.30 / $1,964.98	Professional		$1,080.30	$1,316.30	$1,964.98
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