Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.62 / $1,132.42 / $14,482.00	Facility		$531.62	$1,132.42	$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 $1,434.58 / $1,676.42 / $2,571.67	Facility		$1,434.58	$1,676.42	$2,571.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $531.62 / $766.99 / $1,258.25	Facility		$531.62	$766.99	$1,258.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $531.62 / $1,070.46 / $13,250.00	Facility		$531.62	$1,070.46	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $531.62 / $766.99 / $1,258.25	Facility		$531.62	$766.99	$1,258.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,092.00 / $1,330.56 / $1,986.26	Professional		$1,092.00	$1,330.56	$1,986.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,633.79 / $9,633.79 / $26,593.50	Facility		$9,633.79	$9,633.79	$26,593.50
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00