Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.77 / $1,375.79 / $14,482.00	Facility		$650.77	$1,375.79	$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 $1,740.06 / $2,033.40 / $3,119.29	Facility		$1,740.06	$2,033.40	$3,119.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $650.77 / $917.19 / $1,438.20	Facility		$650.77	$917.19	$1,438.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $650.77 / $1,318.82 / $11,100.00	Facility		$650.77	$1,318.82	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $650.77 / $911.08 / $1,438.20	Facility		$650.77	$911.08	$1,438.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,334.45 / $1,625.98 / $2,427.26	Professional		$1,334.45	$1,625.98	$2,427.26
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 $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00