Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $548.22 / $1,158.41 / $14,482.00	Facility		$548.22	$1,158.41	$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 $1,463.42 / $1,710.12 / $2,623.37	Facility		$1,463.42	$1,710.12	$2,623.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $548.22 / $822.33 / $1,287.13	Facility		$548.22	$822.33	$1,287.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $548.22 / $1,121.83 / $11,100.00	Facility		$548.22	$1,121.83	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $548.22 / $822.33 / $1,287.13	Facility		$548.22	$822.33	$1,287.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,121.25 / $1,366.20 / $2,039.47	Professional		$1,121.25	$1,366.20	$2,039.47
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