Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $609.86 / $1,247.92 / $14,482.00	Facility		$609.86	$1,247.92	$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 $1,633.73 / $1,909.14 / $2,928.67	Facility		$1,633.73	$1,909.14	$2,928.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $573.92 / $742.50 / $1,386.58	Facility		$573.92	$742.50	$1,386.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $597.52 / $1,093.53 / $5,639.00	Facility		$597.52	$1,093.53	$5,639.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $573.92 / $742.50 / $1,386.58	Facility		$573.92	$742.50	$1,386.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,186.90 / $1,446.19 / $2,158.88	Professional		$1,186.90	$1,446.19	$2,158.88
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