Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.34 / $1,164.92 / $14,482.00	Facility		$549.34	$1,164.92	$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 $1,468.83 / $1,716.44 / $2,633.06	Facility		$1,468.83	$1,716.44	$2,633.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $517.74 / $704.25 / $1,214.04	Facility		$517.74	$704.25	$1,214.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $520.28 / $1,130.71 / $5,639.00	Facility		$520.28	$1,130.71	$5,639.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $517.74 / $704.25 / $1,214.04	Facility		$517.74	$704.25	$1,214.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,127.09 / $1,373.33 / $2,050.11	Professional		$1,127.09	$1,373.33	$2,050.11
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