Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.40 / $1,042.40 / $14,482.00	Facility		$492.40	$1,042.40	$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 $1,319.24 / $1,541.64 / $2,364.91	Facility		$1,319.24	$1,541.64	$2,364.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $488.44 / $632.64 / $1,048.90	Facility		$488.44	$632.64	$1,048.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $492.40 / $992.51 / $5,639.00	Facility		$492.40	$992.51	$5,639.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $488.44 / $619.88 / $1,048.90	Facility		$488.44	$619.88	$1,048.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,006.20 / $1,226.02 / $1,830.20	Professional		$1,006.20	$1,226.02	$1,830.20
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