Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.74 / $1,688.53 / $14,482.00	Facility		$446.74	$1,688.53	$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 $1,207.50 / $1,411.06 / $2,164.60	Facility		$1,207.50	$1,411.06	$2,164.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $418.66 / $538.98 / $1,052.70	Facility		$418.66	$538.98	$1,052.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $418.66 / $874.89 / $8,296.28	Facility		$418.66	$874.89	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $418.66 / $538.98 / $1,052.70	Facility		$418.66	$538.98	$1,052.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $910.00 / $1,108.80 / $1,655.22	Professional		$910.00	$1,108.80	$1,655.22
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