Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $547.51 / $1,559.50 / $14,482.00	Facility		$547.51	$1,559.50	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $6,787.00 / $10,517.23	Facility		$1,979.00	$6,787.00	$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 $1,469.73 / $1,717.49 / $2,634.68	Facility		$1,469.73	$1,717.49	$2,634.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $515.32 / $640.59 / $1,288.30	Facility		$515.32	$640.59	$1,288.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $515.32 / $884.22 / $5,639.00	Facility		$515.32	$884.22	$5,639.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $515.32 / $640.59 / $1,288.30	Facility		$515.32	$640.59	$1,288.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,117.34 / $1,361.45 / $1,952.10	Professional		$1,117.34	$1,361.45	$1,952.10
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 $2,723.00 / $3,912.00 / $5,865.00	Facility		$2,723.00	$3,912.00	$5,865.00