Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.21 / $1,032.46 / $14,482.00	Facility		$492.21	$1,032.46	$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 $1,304.82 / $1,524.79 / $2,339.06	Facility		$1,304.82	$1,524.79	$2,339.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $492.21 / $659.40 / $1,076.41	Facility		$492.21	$659.40	$1,076.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $492.21 / $986.57 / $11,100.00	Facility		$492.21	$986.57	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $492.21 / $659.40 / $1,076.41	Facility		$492.21	$659.40	$1,076.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,012.70 / $1,233.94 / $1,842.02	Professional		$1,012.70	$1,233.94	$1,842.02
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 $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00