Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.59 / $2,988.73 / $17,823.00	Facility		$526.59	$2,988.73	$17,823.00
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 $1,421.97 / $1,661.68 / $2,549.06	Facility		$1,421.97	$1,661.68	$2,549.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $522.15 / $744.45 / $1,369.13	Facility		$522.15	$744.45	$1,369.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $526.59 / $1,107.29 / $11,100.00	Facility		$526.59	$1,107.29	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $522.15 / $744.45 / $1,369.13	Facility		$522.15	$744.45	$1,369.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,077.05 / $1,312.34 / $1,959.07	Professional		$1,077.05	$1,312.34	$1,959.07
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