Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.19 / $1,086.11 / $14,482.00	Facility		$516.19	$1,086.11	$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 $1,376.01 / $1,607.98 / $2,466.67	Facility		$1,376.01	$1,607.98	$2,466.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $516.19 / $671.93 / $1,094.32	Facility		$516.19	$671.93	$1,094.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $516.19 / $1,037.03 / $8,384.00	Facility		$516.19	$1,037.03	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $516.19 / $657.75 / $1,094.32	Facility		$516.19	$657.75	$1,094.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,049.75 / $1,279.08 / $1,909.41	Professional		$1,049.75	$1,279.08	$1,909.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
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