Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.11 / $1,075.99 / $14,482.00	Facility		$516.11	$1,075.99	$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 $1,372.41 / $1,603.76 / $2,460.21	Facility		$1,372.41	$1,603.76	$2,460.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $516.11 / $758.88 / $1,365.00	Facility		$516.11	$758.88	$1,365.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $516.11 / $1,061.50 / $11,100.00	Facility		$516.11	$1,061.50	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $516.11 / $758.88 / $1,365.00	Facility		$516.11	$758.88	$1,365.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,040.65 / $1,267.99 / $1,892.86	Professional		$1,040.65	$1,267.99	$1,892.86
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