Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.30 / $1,244.16 / $14,482.00	Facility		$592.30	$1,244.16	$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 $1,570.65 / $1,835.43 / $2,815.60	Facility		$1,570.65	$1,835.43	$2,815.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $584.64 / $884.74 / $1,392.35	Facility		$584.64	$884.74	$1,392.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $592.30 / $1,244.16 / $11,100.00	Facility		$592.30	$1,244.16	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $584.64 / $866.93 / $1,392.35	Facility		$584.64	$866.93	$1,392.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,172.59 / $1,428.77 / $2,132.87	Professional		$1,172.59	$1,428.77	$2,132.87
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