Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $938.23 / $6,461.00 / $18,733.68	Facility		$938.23	$6,461.00	$18,733.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $656.19 / $826.40 / $3,462.54	Facility		$656.19	$826.40	$3,462.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,787.82 / $2,089.21 / $3,204.90	Facility		$1,787.82	$2,089.21	$3,204.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $670.17 / $971.88 / $1,619.20	Facility		$670.17	$971.88	$1,619.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $670.17 / $1,420.76 / $10,843.00	Facility		$670.17	$1,420.76	$10,843.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $670.17 / $971.88 / $1,619.20	Facility		$670.17	$971.88	$1,619.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,370.20 / $1,669.54 / $2,492.29	Professional		$1,370.20	$1,669.54	$2,492.29
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 $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00