Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.39 / $1,163.52 / $6,461.00	Facility		$418.39	$1,163.52	$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 $1,498.56 / $1,751.19 / $2,686.37	Facility		$1,498.56	$1,751.19	$2,686.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $425.82 / $628.00 / $1,163.52	Facility		$425.82	$628.00	$1,163.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $441.99 / $752.89 / $7,160.00	Facility		$441.99	$752.89	$7,160.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $425.82 / $627.59 / $1,163.52	Facility		$425.82	$627.59	$1,163.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $956.45 / $1,334.41 / $1,906.64	Professional		$956.45	$1,334.41	$1,906.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,005.24 / $2,005.24 / $3,244.77	Facility		$2,005.24	$2,005.24	$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