Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $658.68 / $1,395.34 / $14,482.00	Facility		$658.68	$1,395.34	$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 $1,762.59 / $2,059.73 / $3,159.67	Facility		$1,762.59	$2,059.73	$3,159.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $658.68 / $900.61 / $1,438.60	Facility		$658.68	$900.61	$1,438.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $658.68 / $1,333.32 / $11,100.00	Facility		$658.68	$1,333.32	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $658.68 / $849.99 / $1,438.60	Facility		$658.68	$849.99	$1,438.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,347.45 / $1,641.82 / $2,450.91	Professional		$1,347.45	$1,641.82	$2,450.91
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