Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.49 / $1,207.91 / $14,482.00	Facility		$572.49	$1,207.91	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,408.00 / $14,586.00	Facility		$5,169.00	$8,408.00	$14,586.00
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 $1,531.90 / $1,790.15 / $2,746.14	Facility		$1,531.90	$1,790.15	$2,746.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $572.49 / $841.25 / $1,371.04	Facility		$572.49	$841.25	$1,371.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $572.49 / $1,191.92 / $14,246.00	Facility		$572.49	$1,191.92	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $572.49 / $841.25 / $1,371.04	Facility		$572.49	$841.25	$1,371.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,170.00 / $1,425.60 / $2,128.14	Professional		$1,170.00	$1,425.60	$2,128.14
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 $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00