Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $694.75 / $1,473.68 / $14,482.00	Facility		$694.75	$1,473.68	$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 $1,861.71 / $2,175.56 / $3,337.36	Facility		$1,861.71	$2,175.56	$3,337.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $694.75 / $972.65 / $1,637.43	Facility		$694.75	$972.65	$1,637.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $694.75 / $1,432.55 / $11,100.00	Facility		$694.75	$1,432.55	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $694.75 / $972.65 / $1,637.43	Facility		$694.75	$972.65	$1,637.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,428.05 / $1,740.02 / $2,597.51	Professional		$1,428.05	$1,740.02	$2,597.51
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