Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.28 / $1,331.95 / $14,482.00	Facility		$645.28	$1,331.95	$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 $1,732.85 / $2,024.98 / $3,106.37	Facility		$1,732.85	$2,024.98	$3,106.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $591.98 / $754.98 / $1,426.07	Facility		$591.98	$754.98	$1,426.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $618.00 / $1,153.36 / $5,639.00	Facility		$618.00	$1,153.36	$5,639.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $591.98 / $754.98 / $1,426.07	Facility		$591.98	$754.98	$1,426.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,270.75 / $1,548.36 / $2,311.40	Professional		$1,270.75	$1,548.36	$2,311.40
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 $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00