Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.92 / $1,117.01 / $16,279.00	Facility		$350.92	$1,117.01	$16,279.00
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 $1,444.50 / $1,688.01 / $2,589.44	Facility		$1,444.50	$1,688.01	$2,589.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $350.92 / $547.54 / $1,117.01	Facility		$350.92	$547.54	$1,117.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $355.08 / $703.43 / $7,160.00	Facility		$355.08	$703.43	$7,160.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $350.92 / $547.54 / $1,117.01	Facility		$350.92	$547.54	$1,117.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $841.15 / $1,241.68 / $1,830.20	Professional		$841.15	$1,241.68	$1,830.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,698.80 / $1,698.80 / $3,244.77	Facility		$1,698.80	$1,698.80	$3,244.77
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