Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.77 / $1,102.28 / $14,482.00	Facility		$517.77	$1,102.28	$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 $1,396.74 / $1,632.20 / $2,503.83	Facility		$1,396.74	$1,632.20	$2,503.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $517.77 / $758.16 / $1,190.57	Facility		$517.77	$758.16	$1,190.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $517.77 / $1,085.47 / $11,100.00	Facility		$517.77	$1,085.47	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $517.77 / $742.00 / $1,190.57	Facility		$517.77	$742.00	$1,190.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,054.95 / $1,285.42 / $1,918.87	Professional		$1,054.95	$1,285.42	$1,918.87
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