Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $581.04 / $1,419.91 / $6,461.00	Facility		$581.04	$1,419.91	$6,461.00
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 $2,040.14 / $2,384.06 / $3,657.21	Facility		$2,040.14	$2,384.06	$3,657.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $581.04 / $837.44 / $1,510.70	Facility		$581.04	$837.44	$1,510.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $586.40 / $941.08 / $7,160.00	Facility		$586.40	$941.08	$7,160.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $581.04 / $827.20 / $1,510.70	Facility		$581.04	$827.20	$1,510.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,207.96 / $1,612.31 / $2,321.17	Professional		$1,207.96	$1,612.31	$2,321.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,751.36 / $2,751.36 / $3,244.77	Facility		$2,751.36	$2,751.36	$3,244.77
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