Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.91 / $1,167.19 / $14,482.00	Facility		$555.91	$1,167.19	$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 $1,484.14 / $1,734.34 / $2,660.52	Facility		$1,484.14	$1,734.34	$2,660.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $555.91 / $778.27 / $1,228.56	Facility		$555.91	$778.27	$1,228.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $555.91 / $1,148.11 / $11,100.00	Facility		$555.91	$1,148.11	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $555.91 / $778.13 / $1,228.56	Facility		$555.91	$778.13	$1,228.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,123.84 / $1,369.37 / $2,044.20	Professional		$1,123.84	$1,369.37	$2,044.20
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 $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00