Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $506.31 / $1,072.51 / $14,482.00	Facility		$506.31	$1,072.51	$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 $1,365.20 / $1,595.34 / $2,447.29	Facility		$1,365.20	$1,595.34	$2,447.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $476.67 / $592.38 / $1,073.38	Facility		$476.67	$592.38	$1,073.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $476.67 / $995.37 / $8,296.28	Facility		$476.67	$995.37	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $476.67 / $592.38 / $1,073.38	Facility		$476.67	$592.38	$1,073.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,030.90 / $1,256.10 / $1,875.13	Professional		$1,030.90	$1,256.10	$1,875.13
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 $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00