Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $599.03 / $1,268.75 / $14,482.00	Facility		$599.03	$1,268.75	$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 $1,620.21 / $1,893.35 / $2,904.44	Facility		$1,620.21	$1,893.35	$2,904.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $599.03 / $898.55 / $1,409.73	Facility		$599.03	$898.55	$1,409.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $599.03 / $1,248.31 / $11,100.00	Facility		$599.03	$1,248.31	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $599.03 / $898.55 / $1,409.73	Facility		$599.03	$898.55	$1,409.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,216.15 / $1,481.83 / $2,212.08	Professional		$1,216.15	$1,481.83	$2,212.08
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