Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $556.97 / $1,193.94 / $14,482.00	Facility		$556.97	$1,193.94	$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 $1,504.87 / $1,758.56 / $2,697.68	Facility		$1,504.87	$1,758.56	$2,697.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $556.97 / $795.96 / $1,326.60	Facility		$556.97	$795.96	$1,326.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $556.97 / $1,140.88 / $11,100.00	Facility		$556.97	$1,140.88	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $556.97 / $795.96 / $1,326.60	Facility		$556.97	$795.96	$1,326.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,144.00 / $1,393.92 / $2,080.85	Professional		$1,144.00	$1,393.92	$2,080.85
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