Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $653.57 / $2,431.69 / $14,482.00	Facility		$653.57	$2,431.69	$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 $1,726.55 / $2,017.61 / $3,095.06	Facility		$1,726.55	$2,017.61	$3,095.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $653.57 / $902.07 / $1,444.39	Facility		$653.57	$902.07	$1,444.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $653.57 / $1,364.42 / $8,103.00	Facility		$653.57	$1,364.42	$8,103.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $653.57 / $902.07 / $1,444.39	Facility		$653.57	$902.07	$1,444.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,326.65 / $1,616.47 / $2,413.07	Professional		$1,326.65	$1,616.47	$2,413.07
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 $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00