Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $459.27 / $974.34 / $14,482.00	Facility		$459.27	$974.34	$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 $1,226.42 / $1,433.17 / $2,198.53	Facility		$1,226.42	$1,433.17	$2,198.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $459.27 / $666.76 / $1,082.59	Facility		$459.27	$666.76	$1,082.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $459.27 / $943.21 / $11,100.00	Facility		$459.27	$943.21	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $459.27 / $666.76 / $1,082.59	Facility		$459.27	$666.76	$1,082.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $941.85 / $1,147.60 / $1,713.15	Professional		$941.85	$1,147.60	$1,713.15
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