Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.78 / $1,324.10 / $14,482.00	Facility		$642.78	$1,324.10	$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 $1,728.35 / $2,019.71 / $3,098.29	Facility		$1,728.35	$2,019.71	$3,098.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $588.49 / $752.05 / $1,362.69	Facility		$588.49	$752.05	$1,362.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $588.49 / $1,143.90 / $5,639.00	Facility		$588.49	$1,143.90	$5,639.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $588.49 / $752.05 / $1,362.69	Facility		$588.49	$752.05	$1,362.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,266.84 / $1,543.61 / $2,304.30	Professional		$1,266.84	$1,543.61	$2,304.30
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