Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.78 / $1,037.23 / $6,461.00	Facility		$488.78	$1,037.23	$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 $1,736.46 / $2,029.19 / $3,112.83	Facility		$1,736.46	$2,029.19	$3,112.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $450.98 / $716.64 / $1,343.70	Facility		$450.98	$716.64	$1,343.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $460.99 / $809.57 / $7,160.00	Facility		$460.99	$809.57	$7,160.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $450.98 / $701.81 / $1,343.70	Facility		$450.98	$701.81	$1,343.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,110.33 / $1,541.32 / $2,196.69	Professional		$1,110.33	$1,541.32	$2,196.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,353.96 / $2,353.96 / $3,244.77	Facility		$2,353.96	$2,353.96	$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