Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.01 / $1,968.83 / $12,011.54	Facility		$523.01	$1,968.83	$12,011.54
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 $1,403.95 / $1,640.62 / $2,516.75	Facility		$1,403.95	$1,640.62	$2,516.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $523.01 / $758.28 / $1,359.83	Facility		$523.01	$758.28	$1,359.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $523.01 / $1,104.71 / $11,100.00	Facility		$523.01	$1,104.71	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $523.01 / $758.28 / $1,359.83	Facility		$523.01	$758.28	$1,359.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,069.90 / $1,303.63 / $1,946.07	Professional		$1,069.90	$1,303.63	$1,946.07
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