Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.47 / $1,376.51 / $14,482.00	Facility		$632.47	$1,376.51	$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 $1,708.52 / $1,996.54 / $3,062.75	Facility		$1,708.52	$1,996.54	$3,062.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $632.47 / $844.83 / $1,397.76	Facility		$632.47	$844.83	$1,397.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $632.47 / $1,355.19 / $11,100.00	Facility		$632.47	$1,355.19	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $632.47 / $844.83 / $1,397.76	Facility		$632.47	$844.83	$1,397.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,322.75 / $1,611.72 / $2,405.98	Professional		$1,322.75	$1,611.72	$2,405.98
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