Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.14 / $1,014.10 / $14,482.00	Facility		$490.14	$1,014.10	$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 $1,329.15 / $1,553.22 / $2,382.67	Facility		$1,329.15	$1,553.22	$2,382.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $450.71 / $576.91 / $1,083.21	Facility		$450.71	$576.91	$1,083.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $489.82 / $836.10 / $8,296.28	Facility		$489.82	$836.10	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $450.71 / $576.91 / $1,083.21	Facility		$450.71	$576.91	$1,083.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $963.30 / $1,173.74 / $1,752.17	Professional		$963.30	$1,173.74	$1,752.17
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 $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00