Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.11 / $1,056.44 / $14,482.00	Facility		$496.11	$1,056.44	$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 $1,334.56 / $1,559.54 / $2,392.37	Facility		$1,334.56	$1,559.54	$2,392.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $496.11 / $694.55 / $1,097.45	Facility		$496.11	$694.55	$1,097.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $496.11 / $1,009.49 / $11,100.00	Facility		$496.11	$1,009.49	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $496.11 / $690.44 / $1,097.45	Facility		$496.11	$690.44	$1,097.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,014.65 / $1,236.31 / $1,845.57	Professional		$1,014.65	$1,236.31	$1,845.57
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