Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.48 / $1,068.73 / $14,482.00	Facility		$504.48	$1,068.73	$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 $1,350.78 / $1,578.49 / $2,421.44	Facility		$1,350.78	$1,578.49	$2,421.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $504.48 / $725.20 / $1,187.48	Facility		$504.48	$725.20	$1,187.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $504.48 / $1,021.23 / $11,100.00	Facility		$504.48	$1,021.23	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $504.48 / $725.20 / $1,187.48	Facility		$504.48	$725.20	$1,187.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,032.20 / $1,257.70 / $1,877.49	Professional		$1,032.20	$1,257.70	$1,877.49
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 $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00