Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.61 / $1,053.25 / $14,482.00	Facility		$496.61	$1,053.25	$14,482.00
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 $1,333.66 / $1,558.48 / $2,390.76	Facility		$1,333.66	$1,558.48	$2,390.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $496.61 / $744.92 / $1,170.28	Facility		$496.61	$744.92	$1,170.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $496.61 / $1,042.26 / $11,100.00	Facility		$496.61	$1,042.26	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $496.61 / $744.92 / $1,170.28	Facility		$496.61	$744.92	$1,170.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,014.65 / $1,236.31 / $1,845.57	Professional		$1,014.65	$1,236.31	$1,845.57
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