Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $584.45 / $1,227.02 / $14,482.00	Facility		$584.45	$1,227.02	$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 $1,557.14 / $1,819.64 / $2,791.37	Facility		$1,557.14	$1,819.64	$2,791.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $584.45 / $764.19 / $1,291.63	Facility		$584.45	$764.19	$1,291.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $584.45 / $1,172.48 / $8,296.28	Facility		$584.45	$1,172.48	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $584.45 / $739.20 / $1,291.63	Facility		$584.45	$739.20	$1,291.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,186.25 / $1,445.40 / $2,157.69	Professional		$1,186.25	$1,445.40	$2,157.69
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 $4,918.00 / $6,754.00 / $8,384.00	Facility		$4,918.00	$6,754.00	$8,384.00