Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $561.79 / $2,110.30 / $14,482.00	Facility		$561.79	$2,110.30	$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 $561.79 / $842.02 / $1,256.00	Facility		$561.79	$842.02	$1,256.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $561.79 / $1,165.19 / $11,100.00	Facility		$561.79	$1,165.19	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $561.79 / $808.05 / $1,256.00	Facility		$561.79	$808.05	$1,256.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,132.95 / $1,380.46 / $2,060.75	Professional		$1,132.95	$1,380.46	$2,060.75
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