Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.48 / $1,045.36 / $14,482.00	Facility		$486.48	$1,045.36	$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 $1,318.34 / $1,540.58 / $2,363.29	Facility		$1,318.34	$1,540.58	$2,363.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $486.48 / $729.72 / $1,264.84	Facility		$486.48	$729.72	$1,264.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $486.48 / $1,028.97 / $11,100.00	Facility		$486.48	$1,028.97	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $486.48 / $729.72 / $1,264.84	Facility		$486.48	$729.72	$1,264.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,005.55 / $1,225.22 / $1,829.02	Professional		$1,005.55	$1,225.22	$1,829.02
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 $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00