Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.38 / $1,149.08 / $14,482.00	Facility		$553.38	$1,149.08	$14,482.00
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 $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 $1,469.73 / $1,717.49 / $2,634.68	Facility		$1,469.73	$1,717.49	$2,634.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $553.38 / $739.20 / $1,221.40	Facility		$553.38	$739.20	$1,221.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $553.38 / $1,098.01 / $11,100.00	Facility		$553.38	$1,098.01	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $553.38 / $716.19 / $1,221.40	Facility		$553.38	$716.19	$1,221.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,118.65 / $1,363.03 / $2,034.74	Professional		$1,118.65	$1,363.03	$2,034.74
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