Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $566.44 / $2,143.10 / $14,482.00	Facility		$566.44	$2,143.10	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,408.00 / $12,444.00	Facility		$5,169.00	$8,408.00	$12,444.00
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 $1,524.70 / $1,781.73 / $2,733.21	Facility		$1,524.70	$1,781.73	$2,733.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $566.44 / $716.16 / $1,336.10	Facility		$566.44	$716.16	$1,336.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $566.44 / $1,143.08 / $14,246.00	Facility		$566.44	$1,143.08	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $566.44 / $716.16 / $1,336.10	Facility		$566.44	$716.16	$1,336.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,158.95 / $1,412.14 / $2,108.04	Professional		$1,158.95	$1,412.14	$2,108.04
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 $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00