Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.00 / $2,739.19 / $14,482.00	Facility		$727.00	$2,739.19	$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 $1,943.72 / $2,271.39 / $3,484.36	Facility		$1,943.72	$2,271.39	$3,484.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $683.09 / $850.59 / $1,619.35	Facility		$683.09	$850.59	$1,619.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $684.94 / $1,482.45 / $8,296.28	Facility		$684.94	$1,482.45	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $683.09 / $850.59 / $1,619.35	Facility		$683.09	$850.59	$1,619.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,483.95 / $1,808.14 / $2,699.19	Professional		$1,483.95	$1,808.14	$2,699.19
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 $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00