Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $548.26 / $1,153.55 / $14,482.00	Facility		$548.26	$1,153.55	$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 $1,452.61 / $1,697.48 / $2,603.98	Facility		$1,452.61	$1,697.48	$2,603.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $512.69 / $656.24 / $1,211.65	Facility		$512.69	$656.24	$1,211.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.97 / $1,102.28 / $8,296.28	Facility		$537.97	$1,102.28	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $512.69 / $641.46 / $1,211.65	Facility		$512.69	$641.46	$1,211.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,136.84 / $1,385.21 / $2,067.84	Professional		$1,136.84	$1,385.21	$2,067.84
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 $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00