Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $666.45 / $1,376.28 / $14,482.00	Facility		$666.45	$1,376.28	$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 $1,786.92 / $2,088.16 / $3,203.29	Facility		$1,786.92	$2,088.16	$3,203.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $637.97 / $819.00 / $1,529.20	Facility		$637.97	$819.00	$1,529.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $643.70 / $1,200.98 / $5,639.00	Facility		$643.70	$1,200.98	$5,639.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $637.97 / $819.00 / $1,529.20	Facility		$637.97	$819.00	$1,529.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,314.95 / $1,602.22 / $2,391.79	Professional		$1,314.95	$1,602.22	$2,391.79
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