Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $567.34 / $2,126.14 / $8,009.28	Facility		$567.34	$2,126.14	$8,009.28
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 $1,515.68 / $1,771.20 / $2,717.06	Facility		$1,515.68	$1,771.20	$2,717.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $567.34 / $851.01 / $1,325.53	Facility		$567.34	$851.01	$1,325.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $567.34 / $1,176.05 / $11,100.00	Facility		$567.34	$1,176.05	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $567.34 / $851.01 / $1,325.53	Facility		$567.34	$851.01	$1,325.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,148.55 / $1,399.46 / $2,089.12	Professional		$1,148.55	$1,399.46	$2,089.12
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