Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $434.17 / $1,660.18 / $20,077.70	Facility		$434.17	$1,660.18	$20,077.70
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 $1,799.54 / $2,102.90 / $3,225.90	Facility		$1,799.54	$2,102.90	$3,225.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $419.98 / $662.51 / $1,382.85	Facility		$419.98	$662.51	$1,382.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $424.02 / $819.08 / $7,160.00	Facility		$424.02	$819.08	$7,160.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $419.98 / $662.51 / $1,382.85	Facility		$419.98	$662.51	$1,382.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,025.70 / $1,520.06 / $2,240.53	Professional		$1,025.70	$1,520.06	$2,240.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,087.92 / $2,087.92 / $3,244.77	Facility		$2,087.92	$2,087.92	$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