Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $605.15 / $1,280.32 / $14,482.00	Facility		$605.15	$1,280.32	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,408.00 / $12,444.00	Facility		$5,169.00	$8,408.00	$12,444.00
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 $1,623.82 / $1,897.56 / $2,910.91	Facility		$1,623.82	$1,897.56	$2,910.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $605.15 / $827.20 / $1,422.58	Facility		$605.15	$827.20	$1,422.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $605.15 / $1,224.27 / $13,120.00	Facility		$605.15	$1,224.27	$13,120.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $605.15 / $827.20 / $1,422.58	Facility		$605.15	$827.20	$1,422.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,238.90 / $1,509.55 / $2,253.46	Professional		$1,238.90	$1,509.55	$2,253.46
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 $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00