Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.12 / $1,488.31 / $14,482.00	Facility		$704.12	$1,488.31	$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 $1,879.74 / $2,196.62 / $3,369.67	Facility		$1,879.74	$2,196.62	$3,369.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $672.00 / $844.80 / $1,492.73	Facility		$672.00	$844.80	$1,492.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $675.31 / $1,165.50 / $11,100.00	Facility		$675.31	$1,165.50	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $672.00 / $823.82 / $1,492.73	Facility		$672.00	$823.82	$1,492.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,446.90 / $1,762.99 / $2,631.80	Professional		$1,446.90	$1,762.99	$2,631.80
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