Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.30 / $1,328.74 / $14,482.00	Facility		$630.30	$1,328.74	$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 $1,681.49 / $1,964.95 / $3,014.29	Facility		$1,681.49	$1,964.95	$3,014.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $630.30 / $915.59 / $1,476.38	Facility		$630.30	$915.59	$1,476.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.30 / $1,305.82 / $11,100.00	Facility		$630.30	$1,305.82	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $630.30 / $915.59 / $1,476.38	Facility		$630.30	$915.59	$1,476.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,283.09 / $1,563.41 / $2,333.86	Professional		$1,283.09	$1,563.41	$2,333.86
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