Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.91 / $1,197.02 / $14,482.00	Facility		$564.91	$1,197.02	$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 $1,519.29 / $1,775.41 / $2,723.52	Facility		$1,519.29	$1,775.41	$2,723.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $560.00 / $711.91 / $1,330.03	Facility		$560.00	$711.91	$1,330.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $564.91 / $1,136.84 / $8,296.28	Facility		$564.91	$1,136.84	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $560.00 / $711.91 / $1,330.03	Facility		$560.00	$711.91	$1,330.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,154.40 / $1,406.59 / $2,099.76	Professional		$1,154.40	$1,406.59	$2,099.76
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