Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.23 / $1,455.86 / $14,482.00	Facility		$699.23	$1,455.86	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $6,787.00 / $10,517.23	Facility		$1,979.00	$6,787.00	$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 $1,884.24 / $2,201.89 / $3,377.75	Facility		$1,884.24	$2,201.89	$3,377.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $647.04 / $818.10 / $1,617.63	Facility		$647.04	$818.10	$1,617.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $647.04 / $1,305.90 / $5,722.54	Facility		$647.04	$1,305.90	$5,722.54
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $647.04 / $818.10 / $1,617.63	Facility		$647.04	$818.10	$1,617.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,390.35 / $1,694.09 / $2,528.94	Professional		$1,390.35	$1,694.09	$2,528.94
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 $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00