Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.98 / $1,024.47 / $14,482.00	Facility		$482.98	$1,024.47	$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 $1,295.81 / $1,514.26 / $2,322.91	Facility		$1,295.81	$1,514.26	$2,322.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $482.98 / $695.04 / $1,228.50	Facility		$482.98	$695.04	$1,228.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $482.98 / $1,013.14 / $5,639.00	Facility		$482.98	$1,013.14	$5,639.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $482.98 / $695.04 / $1,228.50	Facility		$482.98	$695.04	$1,228.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $988.00 / $1,203.83 / $1,797.10	Professional		$988.00	$1,203.83	$1,797.10
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 $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00