Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $470.71 / $6,269.15 / $17,823.00	Facility		$470.71	$6,269.15	$17,823.00
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 $1,270.58 / $1,484.77 / $2,277.67	Facility		$1,270.58	$1,484.77	$2,277.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $443.28 / $567.40 / $1,108.20	Facility		$443.28	$567.40	$1,108.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $443.28 / $932.14 / $8,296.28	Facility		$443.28	$932.14	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $443.28 / $567.40 / $1,108.20	Facility		$443.28	$567.40	$1,108.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $958.75 / $1,168.20 / $1,743.89	Professional		$958.75	$1,168.20	$1,743.89
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