Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.77 / $1,264.77 / $14,482.00	Facility		$600.77	$1,264.77	$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 $2,971.90 / $2,971.90 / $2,971.90	Facility		$2,971.90	$2,971.90	$2,971.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,599.49 / $1,869.13 / $2,867.29	Facility		$1,599.49	$1,869.13	$2,867.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $562.12 / $702.90 / $1,405.30	Facility		$562.12	$702.90	$1,405.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $586.39 / $1,243.24 / $5,639.00	Facility		$586.39	$1,243.24	$5,639.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $562.12 / $702.90 / $1,405.30	Facility		$562.12	$702.90	$1,405.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,238.25 / $1,508.76 / $2,252.28	Professional		$1,238.25	$1,508.76	$2,252.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,469.60 / $2,469.60 / $6,817.20	Facility		$2,469.60	$2,469.60	$6,817.20
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