Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.22 / $1,305.33 / $14,482.00	Facility		$617.22	$1,305.33	$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 $1,655.36 / $1,934.42 / $2,967.44	Facility		$1,655.36	$1,934.42	$2,967.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $611.38 / $789.71 / $1,324.47	Facility		$611.38	$789.71	$1,324.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $617.22 / $1,244.71 / $11,100.00	Facility		$617.22	$1,244.71	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $611.38 / $781.69 / $1,324.47	Facility		$611.38	$781.69	$1,324.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,260.34 / $1,535.69 / $2,292.48	Professional		$1,260.34	$1,535.69	$2,292.48
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