Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.27 / $1,041.89 / $14,482.00	Facility		$492.27	$1,041.89	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
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 $1,317.44 / $1,539.53 / $2,361.67	Facility		$1,317.44	$1,539.53	$2,361.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $489.60 / $643.42 / $1,075.91	Facility		$489.60	$643.42	$1,075.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $492.27 / $995.58 / $11,598.00	Facility		$492.27	$995.58	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $489.60 / $641.58 / $1,075.91	Facility		$489.60	$641.58	$1,075.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,007.50 / $1,227.59 / $1,832.57	Professional		$1,007.50	$1,227.59	$1,832.57
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 $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00