Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $746.51 / $1,894.00 / $11,628.30	Facility		$746.51	$1,894.00	$11,628.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
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 $2,005.89 / $2,344.04 / $3,595.82	Facility		$2,005.89	$2,344.04	$3,595.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $746.51 / $946.50 / $1,711.10	Facility		$746.51	$946.50	$1,711.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $746.51 / $1,364.55 / $11,100.00	Facility		$746.51	$1,364.55	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $746.51 / $946.50 / $1,711.10	Facility		$746.51	$946.50	$1,711.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,468.35 / $1,789.13 / $2,670.82	Professional		$1,468.35	$1,789.13	$2,670.82
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