Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.51 / $1,046.85 / $14,482.00	Facility		$494.51	$1,046.85	$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 $1,328.25 / $1,552.17 / $2,381.06	Facility		$1,328.25	$1,552.17	$2,381.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $494.51 / $741.77 / $1,163.18	Facility		$494.51	$741.77	$1,163.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $494.51 / $1,035.83 / $11,100.00	Facility		$494.51	$1,035.83	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $494.51 / $741.77 / $1,163.18	Facility		$494.51	$741.77	$1,163.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,010.10 / $1,230.77 / $1,837.29	Professional		$1,010.10	$1,230.77	$1,837.29
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 $6,073.00 / $9,882.00 / $12,631.00	Facility		$6,073.00	$9,882.00	$12,631.00