Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.04 / $1,322.23 / $14,482.00	Facility		$624.04	$1,322.23	$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 $1,673.38 / $1,955.48 / $2,999.75	Facility		$1,673.38	$1,955.48	$2,999.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $624.04 / $873.66 / $1,469.15	Facility		$624.04	$873.66	$1,469.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $624.04 / $1,254.63 / $11,100.00	Facility		$624.04	$1,254.63	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $624.04 / $873.66 / $1,469.15	Facility		$624.04	$873.66	$1,469.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,275.95 / $1,554.70 / $2,320.85	Professional		$1,275.95	$1,554.70	$2,320.85
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 $4,017.00 / $9,953.00 / $12,705.00	Facility		$4,017.00	$9,953.00	$12,705.00