Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.44 / $1,245.00 / $12,459.10	Facility		$488.44	$1,245.00	$12,459.10
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 $1,782.42 / $2,082.89 / $3,195.21	Facility		$1,782.42	$2,082.89	$3,195.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $488.44 / $734.67 / $1,380.69	Facility		$488.44	$734.67	$1,380.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $494.04 / $849.46 / $7,160.00	Facility		$494.04	$849.46	$7,160.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $488.44 / $734.45 / $1,380.69	Facility		$488.44	$734.45	$1,380.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,106.56 / $1,549.54 / $2,258.52	Professional		$1,106.56	$1,549.54	$2,258.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,345.80 / $2,345.80 / $3,244.77	Facility		$2,345.80	$2,345.80	$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