Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $626.78 / $1,298.39 / $14,482.00	Facility		$626.78	$1,298.39	$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 $1,692.30 / $1,977.59 / $3,033.67	Facility		$1,692.30	$1,977.59	$3,033.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $577.05 / $738.64 / $1,328.77	Facility		$577.05	$738.64	$1,328.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $577.05 / $1,115.27 / $5,639.00	Facility		$577.05	$1,115.27	$5,639.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $577.05 / $733.33 / $1,328.77	Facility		$577.05	$733.33	$1,328.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,238.25 / $1,508.76 / $2,252.28	Professional		$1,238.25	$1,508.76	$2,252.28
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