Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.62 / $1,148.69 / $14,482.00	Facility		$540.62	$1,148.69	$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 $1,453.51 / $1,698.54 / $2,605.60	Facility		$1,453.51	$1,698.54	$2,605.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $475.20 / $632.53 / $1,209.55	Facility		$475.20	$632.53	$1,209.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $510.53 / $1,085.83 / $8,296.28	Facility		$510.53	$1,085.83	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $475.20 / $632.53 / $1,209.55	Facility		$475.20	$632.53	$1,209.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,106.30 / $1,347.98 / $2,012.27	Professional		$1,106.30	$1,347.98	$2,012.27
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