Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.06 / $1,360.87 / $14,482.00	Facility		$663.06	$1,360.87	$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 $1,762.59 / $2,059.73 / $3,159.67	Facility		$1,762.59	$2,059.73	$3,159.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $629.67 / $775.78 / $1,405.69	Facility		$629.67	$775.78	$1,405.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $643.70 / $1,189.25 / $5,639.00	Facility		$643.70	$1,189.25	$5,639.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $629.67 / $775.78 / $1,405.69	Facility		$629.67	$775.78	$1,405.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,299.34 / $1,583.21 / $2,363.42	Professional		$1,299.34	$1,583.21	$2,363.42
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