Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.04 / $1,179.38 / $14,482.00	Facility		$557.04	$1,179.38	$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 $1,489.55 / $1,740.66 / $2,670.21	Facility		$1,489.55	$1,740.66	$2,670.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $557.04 / $786.26 / $1,217.52	Facility		$557.04	$786.26	$1,217.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $557.04 / $1,126.97 / $11,100.00	Facility		$557.04	$1,126.97	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $557.04 / $779.86 / $1,217.52	Facility		$557.04	$779.86	$1,217.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,140.75 / $1,389.96 / $2,074.94	Professional		$1,140.75	$1,389.96	$2,074.94
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