Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $684.29 / $1,401.26 / $14,482.00	Facility		$684.29	$1,401.26	$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 $1,834.68 / $2,143.96 / $3,288.90	Facility		$1,834.68	$2,143.96	$3,288.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $658.30 / $840.87 / $1,556.95	Facility		$658.30	$840.87	$1,556.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $659.40 / $1,237.41 / $5,639.00	Facility		$659.40	$1,237.41	$5,639.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $658.30 / $840.87 / $1,556.95	Facility		$658.30	$840.87	$1,556.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,335.10 / $1,626.77 / $2,428.44	Professional		$1,335.10	$1,626.77	$2,428.44
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