Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $716.96 / $1,482.66 / $14,482.00	Facility		$716.96	$1,482.66	$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 $1,919.39 / $2,242.94 / $3,440.75	Facility		$1,919.39	$2,242.94	$3,440.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $882.83 / $1,647.40	Facility		$700.00	$882.83	$1,647.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $716.96 / $1,316.57 / $11,100.00	Facility		$716.96	$1,316.57	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $882.83 / $1,647.40	Facility		$700.00	$882.83	$1,647.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,418.95 / $1,728.94 / $2,580.96	Professional		$1,418.95	$1,728.94	$2,580.96
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