Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.65 / $1,213.58 / $14,482.00	Facility		$573.65	$1,213.58	$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 $1,536.41 / $1,795.42 / $2,754.21	Facility		$1,536.41	$1,795.42	$2,754.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $573.65 / $809.06 / $1,343.92	Facility		$573.65	$809.06	$1,343.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $573.65 / $1,198.47 / $11,100.00	Facility		$573.65	$1,198.47	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $573.65 / $803.11 / $1,343.92	Facility		$573.65	$803.11	$1,343.92
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 $6,073.00 / $9,882.00 / $12,631.00	Facility		$6,073.00	$9,882.00	$12,631.00