Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.00 / $1,276.76 / $14,482.00	Facility		$603.00	$1,276.76	$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 $1,616.61 / $1,889.14 / $2,897.98	Facility		$1,616.61	$1,889.14	$2,897.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $603.00 / $872.91 / $1,418.63	Facility		$603.00	$872.91	$1,418.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $603.00 / $1,259.85 / $11,100.00	Facility		$603.00	$1,259.85	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $603.00 / $872.91 / $1,418.63	Facility		$603.00	$872.91	$1,418.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,235.00 / $1,504.80 / $2,246.37	Professional		$1,235.00	$1,504.80	$2,246.37
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 $6,073.00 / $9,882.00 / $12,631.00	Facility		$6,073.00	$9,882.00	$12,631.00