Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $757.08 / $1,567.98 / $14,482.00	Facility		$757.08	$1,567.98	$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 $2,022.11 / $2,363.00 / $3,624.90	Facility		$2,022.11	$2,363.00	$3,624.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $731.27 / $932.57 / $1,742.20	Facility		$731.27	$932.57	$1,742.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $737.90 / $1,405.76 / $11,100.00	Facility		$737.90	$1,405.76	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $731.27 / $932.57 / $1,742.20	Facility		$731.27	$932.57	$1,742.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,504.75 / $1,833.48 / $2,737.02	Professional		$1,504.75	$1,833.48	$2,737.02
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 $4,017.00 / $9,953.00 / $12,705.00	Facility		$4,017.00	$9,953.00	$12,705.00