Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.19 / $5,643.00 / $9,500.93	Facility		$520.19	$5,643.00	$9,500.93
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 $1,400.34 / $1,636.41 / $2,510.29	Facility		$1,400.34	$1,636.41	$2,510.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $520.19 / $728.27 / $1,229.09	Facility		$520.19	$728.27	$1,229.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $520.19 / $1,102.80 / $11,100.00	Facility		$520.19	$1,102.80	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $520.19 / $702.98 / $1,229.09	Facility		$520.19	$702.98	$1,229.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,067.30 / $1,300.46 / $1,941.34	Professional		$1,067.30	$1,300.46	$1,941.34
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