Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.26 / $1,411.56 / $14,482.00	Facility		$682.26	$1,411.56	$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 $1,826.57 / $2,134.48 / $3,274.37	Facility		$1,826.57	$2,134.48	$3,274.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $627.36 / $855.00 / $1,568.40	Facility		$627.36	$855.00	$1,568.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $627.36 / $1,245.15 / $5,639.00	Facility		$627.36	$1,245.15	$5,639.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $627.36 / $855.00 / $1,568.40	Facility		$627.36	$855.00	$1,568.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,350.70 / $1,645.78 / $2,456.82	Professional		$1,350.70	$1,645.78	$2,456.82
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 $2,723.00 / $3,912.00 / $5,865.00	Facility		$2,723.00	$3,912.00	$5,865.00