Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $665.39 / $1,391.24 / $14,482.00	Facility		$665.39	$1,391.24	$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 $1,782.42 / $2,082.89 / $3,195.21	Facility		$1,782.42	$2,082.89	$3,195.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $607.50 / $791.46 / $1,545.83	Facility		$607.50	$791.46	$1,545.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $618.33 / $1,272.97 / $8,296.28	Facility		$618.33	$1,272.97	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $607.50 / $791.46 / $1,545.83	Facility		$607.50	$791.46	$1,545.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,346.15 / $1,640.23 / $2,448.54	Professional		$1,346.15	$1,640.23	$2,448.54
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