Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.13 / $3,697.18 / $17,823.00	Facility		$585.13	$3,697.18	$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 $1,572.45 / $1,837.54 / $2,818.83	Facility		$1,572.45	$1,837.54	$2,818.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $551.35 / $736.27 / $1,378.38	Facility		$551.35	$736.27	$1,378.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $551.35 / $1,185.40 / $8,296.28	Facility		$551.35	$1,185.40	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $551.35 / $736.27 / $1,378.38	Facility		$551.35	$736.27	$1,378.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,196.00 / $1,457.28 / $2,175.42	Professional		$1,196.00	$1,457.28	$2,175.42
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