Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.31 / $1,705.01 / $14,482.00	Facility		$456.31	$1,705.01	$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 $1,213.81 / $1,418.43 / $2,175.91	Facility		$1,213.81	$1,418.43	$2,175.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $456.31 / $684.47 / $1,228.50	Facility		$456.31	$684.47	$1,228.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $456.31 / $956.68 / $11,100.00	Facility		$456.31	$956.68	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $456.31 / $684.47 / $1,228.50	Facility		$456.31	$684.47	$1,228.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $911.95 / $1,111.18 / $1,658.77	Professional		$911.95	$1,111.18	$1,658.77
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