Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $607.94 / $2,306.07 / $20,480.72	Facility		$607.94	$2,306.07	$20,480.72
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 $1,635.53 / $1,911.25 / $2,931.91	Facility		$1,635.53	$1,911.25	$2,931.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $607.94 / $857.64 / $1,299.77	Facility		$607.94	$857.64	$1,299.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $607.94 / $1,225.21 / $11,100.00	Facility		$607.94	$1,225.21	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $607.94 / $851.12 / $1,299.77	Facility		$607.94	$851.12	$1,299.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,246.70 / $1,519.06 / $2,267.65	Professional		$1,246.70	$1,519.06	$2,267.65
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