Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.66 / $1,323.45 / $14,482.00	Facility		$642.66	$1,323.45	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$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 $1,718.44 / $2,008.13 / $3,080.52	Facility		$1,718.44	$2,008.13	$3,080.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $642.66 / $932.32 / $1,470.50	Facility		$642.66	$932.32	$1,470.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $642.66 / $1,224.50 / $11,100.00	Facility		$642.66	$1,224.50	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $642.66 / $899.72 / $1,470.50	Facility		$642.66	$899.72	$1,470.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,262.95 / $1,538.86 / $2,297.21	Professional		$1,262.95	$1,538.86	$2,297.21
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 $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00