Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $740.87 / $1,521.97 / $14,482.00	Facility		$740.87	$1,521.97	$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 $1,984.27 / $2,318.77 / $3,557.06	Facility		$1,984.27	$2,318.77	$3,557.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $707.52 / $866.82 / $1,570.64	Facility		$707.52	$866.82	$1,570.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.52 / $1,362.53 / $11,100.00	Facility		$707.52	$1,362.53	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $707.52 / $866.82 / $1,570.64	Facility		$707.52	$866.82	$1,570.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,455.35 / $1,773.29 / $2,647.17	Professional		$1,455.35	$1,773.29	$2,647.17
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 $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00