Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.29 / $1,422.97 / $14,482.00	Facility		$640.29	$1,422.97	$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 $1,714.83 / $2,003.92 / $3,074.06	Facility		$1,714.83	$2,003.92	$3,074.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $640.29 / $838.16 / $1,581.08	Facility		$640.29	$838.16	$1,581.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $640.29 / $1,326.63 / $11,598.00	Facility		$640.29	$1,326.63	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $640.29 / $838.16 / $1,581.08	Facility		$640.29	$838.16	$1,581.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,379.95 / $1,681.42 / $2,510.02	Professional		$1,379.95	$1,681.42	$2,510.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
United Facility/Professional Facility Modifier Low / Median / High Price $5,660.81 / $9,158.00 / $12,062.00	Facility		$5,660.81	$9,158.00	$12,062.00