Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $730.45 / $1,510.90 / $14,482.00	Facility		$730.45	$1,510.90	$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 $1,962.64 / $2,293.50 / $3,518.29	Facility		$1,962.64	$2,293.50	$3,518.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $704.53 / $880.00 / $1,548.55	Facility		$704.53	$880.00	$1,548.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $730.45 / $1,364.46 / $11,100.00	Facility		$730.45	$1,364.46	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $704.53 / $859.53 / $1,548.55	Facility		$704.53	$859.53	$1,548.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,444.95 / $1,760.62 / $2,628.25	Professional		$1,444.95	$1,760.62	$2,628.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,219.60 / $4,219.60 / $11,647.95	Facility		$4,219.60	$4,219.60	$11,647.95
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00