Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.49 / $1,064.77 / $14,482.00	Facility		$503.49	$1,064.77	$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 $1,348.98 / $1,576.39 / $2,418.21	Facility		$1,348.98	$1,576.39	$2,418.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $503.49 / $726.72 / $1,183.08	Facility		$503.49	$726.72	$1,183.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $503.49 / $1,051.57 / $11,100.00	Facility		$503.49	$1,051.57	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $503.49 / $726.72 / $1,183.08	Facility		$503.49	$726.72	$1,183.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,031.55 / $1,256.90 / $1,876.31	Professional		$1,031.55	$1,256.90	$1,876.31
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