Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.42 / $1,467.54 / $14,482.00	Facility		$388.42	$1,467.54	$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 $1,050.71 / $1,227.83 / $1,883.53	Facility		$1,050.71	$1,227.83	$1,883.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $383.00 / $502.40 / $914.93	Facility		$383.00	$502.40	$914.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $388.06 / $690.44 / $8,296.28	Facility		$388.06	$690.44	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $383.00 / $502.40 / $914.93	Facility		$383.00	$502.40	$914.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $782.60 / $953.57 / $1,380.24	Professional		$782.60	$953.57	$1,380.24
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 $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00