Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.88 / $1,646.91 / $14,482.00	Facility		$794.88	$1,646.91	$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 $2,124.84 / $2,483.04 / $3,809.05	Facility		$2,124.84	$2,483.04	$3,809.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $770.00 / $981.19 / $1,829.90	Facility		$770.00	$981.19	$1,829.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.88 / $1,470.16 / $11,100.00	Facility		$794.88	$1,470.16	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $770.00 / $981.19 / $1,829.90	Facility		$770.00	$981.19	$1,829.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,578.85 / $1,923.77 / $2,871.81	Professional		$1,578.85	$1,923.77	$2,871.81
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 $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00