Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.80 / $1,039.75 / $14,482.00	Facility		$490.80	$1,039.75	$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 $1,311.13 / $1,532.16 / $2,350.37	Facility		$1,311.13	$1,532.16	$2,350.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $490.80 / $706.62 / $1,084.67	Facility		$490.80	$706.62	$1,084.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $490.80 / $1,027.21 / $11,100.00	Facility		$490.80	$1,027.21	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $490.80 / $706.62 / $1,084.67	Facility		$490.80	$706.62	$1,084.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,004.90 / $1,224.43 / $1,827.84	Professional		$1,004.90	$1,224.43	$1,827.84
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